| Date of birth: | Mar 16, 1958 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00045110 |
| Booking number: | 2011003870 |
| Booking date: | Jul 6, 2011 |
| Release date: | Jul 7, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045-1a1 - AGGRAVATED BATTERY- DOMV |
| Offense date: | Jul 6, 2011 |
| Bond amount: | $5,000 |