| Date of birth: | Dec 27, 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00043486 |
| Booking number: | 2010006483 |
| Booking date: | Nov 22, 2010 |
| Release date: | Nov 23, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY-DOMV |
| Offense date: | Nov 22, 2010 |
| Bond amount: | $1,000 |
| Statute: | 893.147-1 - POP |
| Offense date: | Nov 22, 2010 |
| Bond amount: | $500 |