| Date of birth: | Nov 20, 1955 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00044427 |
| Booking date: | Apr 7, 2011 |
| Release date: | Apr 10, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045-1a1 - AGG BATT |
| Offense date: | Apr 7, 2011 |
| Bond amount: | $5,000 |
| Arrest date: | Apr 7, 2011 |