| Date of birth: | Aug 27, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 07002836 |
| Booking number: | B07004426 |
| Booking date: | Dec 1, 2007 |
| Booking age: | 1951 |
| Release date: | Dec 2, 2007 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | SIMPLE ASSLT-INTENT THREAT TO DO VIOLENCE (DOMV) |
| Violation code: | 784 |
| Obts: | 6601027686 |
| Charge number: | 1 |
| Arrest location: | SANTA ROS BCH |
| Arrest date: | Dec 1, 2007 |
| Agency case: | 07070596 |