| Date of birth: | Jan 23, 1954 |
| Hair: | Gray |
| Eyes: | Blue |
| Spn: | 164322 |
| Booking location: | Leon County, FL |
| Statute: | 784.03 1A1 |
| Release date: | Jan 23, 2004 |
| Offense date: | Jan 22, 2004 |
| Clerk case: | 2004MM539A1 |
| Charge literal: | DOMESTIC BATTERY TOUCH OR STRIKE |
| Booking date: | Jan 22, 2004 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Bond amount: | $500 |
| Agency report: | 04-15590 |