| Date of birth: | Sep 22, 1950 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 1801038672 |
| Incarcerated: | False |
| City of birth: | MINNELOA |
| Build: | Medium |
| Arresting agency: | Flagler County Sheriff's Office |
| Booking number: | 2013-00001232 |
| Booking date: | May 23, 2013 |
| Booking location: | Flagler County, FL |
| Statute: | 784.03 |
| Description: | Battery |
| Bond amount: | $500 |