| Date of birth: | Apr 8, 1957 |
| Hair: | Brn |
| Eyes: | Hazel |
| Inmate status: | N |
| Inmate number: | 10006633 |
| Booking number: | B10008183 |
| Booking date: | Jan 2, 2010 |
| Booking age: | 1952 |
| Release date: | Jan 3, 2010 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY CAUSE BODILY HARM DOMV |
| Violation code: | 784.03-1A2 |
| Obts: | 6601033960 |
| Charge number: | 1 |
| Arrest location: | W ST HWY 20, BASIN BAYOU, FL |
| Arrest date: | Jan 3, 2010 |
| Agency case: | 10-000043 |