| Date of birth: | Feb 9, 1960 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00039651 |
| Booking number: | 2009004037 |
| Booking date: | Jul 4, 2009 |
| Release date: | Jul 5, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY (DOMV) |
| Offense date: | Jul 4, 2009 |
| Arrest date: | Jul 4, 2009 |