| Date of birth: | Jan 1, 1946 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00045116 |
| Booking number: | 2011003888 |
| Booking date: | Jul 7, 2011 |
| Release date: | Jul 8, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.011 - ASSAULT |
| Offense date: | Jul 7, 2011 |
| Arrest date: | Jul 7, 2011 |
| Statute: | 784.03-1a1 - BATTERY |
| Offense date: | Jul 7, 2011 |
| Arrest date: | Jul 7, 2011 |