| Date of birth: | Oct 4, 1951 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 11015886 |
| Active: | N |
| Booking number: | B15028860 |
| Booking date: | Sep 12, 2015 |
| Release date: | Sep 13, 2015 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY TOUCH OR STRIKE ( DOMESTIC ) |
| Violation code: | 784.03(1A1) |
| Required cash amount: | $1,000 |
| Obts number: | 6601049909 |
| Clear type: | CASH BOND |
| Charge number: | 1 |
| Bond type: | CASH/SURETY |
| Bond number: | 2813951607 |
| Bond amount: | $1,000 |
| Arrest location: | 160 WHIP-POOR-WILL LN |
| Arrest date: | Sep 12, 2015 |
| Agency case number: | 15-005365 |