| Date of birth: | Sep 7, 1964 |
| Hair: | Gray |
| Eyes: | Green |
| Inmate number: | 00048907 |
| Booking number: | 2012007316 |
| Booking date: | Dec 11, 2012 |
| Release date: | Dec 11, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY-DOMV-TOUCH OR STRIKE |
| Offense date: | Dec 10, 2012 |