| Date of birth: | Oct 13, 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | A0216659 |
| Active: | N |
| Booking number: | 1200023708 |
| Booking date: | Sep 21, 2012 |
| Release date: | Sep 23, 2012 |
| Booking location: | Marion County, FL |
| Violation level: | F |
| Violation description: | AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTENT TO KILL; AGGRAVATED ASSAULT DOMESTIC |
| Violation code: | 784.021-1A |
| Required cash amount: | $0 |
| Obts number: | 4201194055 |
| Next court type: | ARRN |
| Court date: | Oct 23, 2012 |
| Clear type: | SURETY |
| Charge number: | 1 |
| Bond type: | SURETY |
| Bond number: | 890131 |
| Bond amount: | $2,500 |
| Arrest location: | 20205 SE 157TH PL |
| Arrest date: | Sep 21, 2012 |
| Agency case number: | 12028614 |