| Date of birth: | Dec 29, 1957 |
| Hair: | Gray |
| Eyes: | Green |
| Number: | 00044336 |
| Booking date: | Mar 28, 2011 |
| Release date: | Mar 28, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 900.04 - VIOLATE DOMV INJ |
| Offense date: | Mar 28, 2011 |
| Case number: | 11-02330 |
| Bond amount: | $1,000 |
| Arrest date: | Mar 28, 2011 |