| Date of birth: | Sep 30, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 11015750 |
| Active: | N |
| Booking number: | B15028599 |
| Booking date: | Aug 23, 2015 |
| Release date: | Aug 24, 2015 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY TOUCH OR STRIKE (DOMESTIC VIOLENCE) |
| Violation code: | 784.03(1A1) |
| Required cash amount: | $250 |
| Obts number: | 6601049711 |
| Clear type: | SURETY BOND |
| Charge number: | 1 |
| Bond type: | CASH/SURETY |
| Bond amount: | $250 |
| Arrest location: | 58 NANCY CLAIRE LN |
| Arrest date: | Aug 23, 2015 |
| Agency case number: | 15OFF004957 |