| Date of birth: | Dec 13, 1954 |
| Hair: | Bald |
| Eyes: | Hazel |
| Inmate number: | 00045144 |
| Residency: | 3535 WOODCLIFF DRIVE, CRESTVIEW, FL 32539 |
| Related offense: | OCSO15OFF006369 |
| Booking number: | 2012004106 |
| Booking date: | Jul 18, 2012 |
| Release date: | Jul 18, 2012 |
| Booking location: | Okaloosa County, FL |
| Arrest number: | OCSO15ARR004989 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DUI W INJURIES |
| Offense date: | Jul 18, 2012 |
| Case number: | 11CT1900S |
| Description: | 784.03.1a2 (First Degree Misdemeanor) BATTERY CAUSE BODILY HARM |