| Date of birth: | Sep 4, 1956 |
| Inmate status: | Not In Custody |
| Booking number: | 852119 |
| Booking date: | Jul 5, 2011 |
| Booking location: | Volusia County, FL |
| Offense date: | Jul 5, 2011 |
| General offense code: | DOMESTIC VIOLENCE ASSAULT |
| Case number: | 2011 005257 MMAWS |
| Arrest type: | ONV |
| Agency report number: | 110020134 |