| Date of birth: | Oct 17, 1962 |
| Ethnicity: | AMERICAN (US) |
| Arresting agency: | GEORGETOWN SHERIFF'S OFFICE |
| Booking number: | GC12121500292 |
| Booking date: | Dec 12, 2015 |
| Release date: | Dec 13, 2015 |
| Booking location: | Georgetown County, SC |
| Charge: | SIMPLE ASSAULT AND BATTERY |
| Bailamount: | NO BAIL SET |