| Date of birth: | Apr 1, 1953 |
| Ethnicity: | N |
| Prisoner number: | 02-0004165 |
| Arrest number: | SC0340100 |
| Booking location: | Marion County, SC |
| Ticket warrant: | 5102P0696522 |
| Statute: | 16-03-0600(E)(1) |
| Description: | ASSAULT / ASSAULT & BATTERY 3RD DEGREE |
| Cdr: | 3414 |
| Bond amount: | $1,087.50 |