| Date of birth: | Mar 27, 1968 |
| Inmate status: | In Custody |
| Booking number: | 892258 |
| Booking date: | Jan 22, 2013 |
| Booking location: | Volusia County, FL |
| Offense date: | Jan 22, 2013 |
| General offense code: | CHILD-INFLICTION OF PHYSICAL/MENTAL INJURY |
| Case number: | 2013 300404 CFDB |
| Arrest type: | ONV |
| Agency report number: | 130100144 |