| Date of birth: | Mar 30, 1954 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00044960 |
| Booking number: | 2011003437 |
| Booking date: | Jun 15, 2011 |
| Release date: | Jun 16, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Jun 15, 2011 |
| Bond amount: | $500 |
| Arrest date: | Jun 15, 2011 |