| Date of birth: | Aug 25, 1959 |
| Inmate status: | In Custody |
| Booking number: | 889170 |
| Booking date: | Dec 4, 2012 |
| Booking location: | Volusia County, FL |
| Offense date: | Dec 4, 2012 |
| General offense code: | AGGRAVATED ASSAULT ON PERSON 65 YOA OR OLDER |
| Case number: | 2012 036842 CFAES |
| Arrest type: | ONV |
| Agency report number: | 121200024 |