| Date of birth: | Aug 9, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00029176 |
| Booking number: | 2011007196 |
| Booking date: | Dec 31, 2011 |
| Release date: | Jan 1, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Dec 31, 2011 |