| Date of birth: | Mar 19, 1958 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00040085 |
| Booking number: | 2009005186 |
| Booking date: | Aug 21, 2009 |
| Release date: | Aug 22, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY |
| Offense date: | Aug 21, 2009 |
| Arrest date: | Aug 21, 2009 |