| Date of birth: | Jun 2, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 07002666 |
| Booking number: | B07004062 |
| Booking date: | Nov 3, 2007 |
| Booking age: | 1948 |
| Release date: | Nov 4, 2007 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | AGGRAV BATTERY-CAUSE BODILY HARM OR DISABILITY |
| Violation code: | 784(1a1) |
| Obts: | 6601027448 |
| Charge number: | 1 |
| Arrest location: | 246 MARKON BLVD, SRB |
| Arrest date: | Nov 3, 2007 |
| Agency case: | 07-066072 |