| Date of birth: | 1957 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00040356 |
| Housing location: | ECHO-SECC |
| Booking number: | 2013006189 |
| Booking date: | Oct 19, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY/DOMV (2 CTS) |
| Offense date: | Oct 19, 2013 |
| Arrest date: | Oct 19, 2013 |