| Date of birth: | Aug 23, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00024124 |
| Booking number: | 2005005115 |
| Booking date: | Jun 20, 2005 |
| Release date: | Jun 21, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - AGG. BATTERY(DOMV) |
| Offense date: | Jun 20, 2005 |
| Case number: | 05CF1485 |
| Bond amount: | $2,500 |