| Date of birth: | Jul 2, 1965 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 11011638 |
| Active: | N |
| Booking number: | B13021188 |
| Booking date: | Oct 5, 2013 |
| Release date: | Oct 5, 2013 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY TOUCH OR STRIKE (DOMESTIC VIOLENCE) |
| Violation code: | 784.03(1A1) |
| Required cash amount: | $1,000 |
| Obts number: | 66010436700 |
| Clear type: | CASH ONLY |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond number: | 12296 |
| Bond amount: | $1,000 |
| Arrest location: | 227 SANDPIPER BAY |
| Arrest date: | Oct 5, 2013 |
| Agency case number: | 13RR004297 |