| Date of birth: | 1952 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00005836 |
| Housing location: | ACR1-A |
| Booking number: | 2013006151 |
| Booking date: | Oct 17, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-2 - BATTERY DOMV 2ND OR SUBSQ OFF |
| Offense date: | Oct 17, 2013 |
| Arrest date: | Oct 17, 2013 |