| Date of birth: | Oct 30, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00041226 |
| Booking number: | 2010000204 |
| Booking date: | Jan 10, 2010 |
| Release date: | Jan 11, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY )DOMV) |
| Offense date: | Jan 10, 2010 |
| Arrest date: | Jan 10, 2010 |