| Date of birth: | Jul 6, 1954 |
| Inmate status: | Not In Custody |
| Booking number: | 865517 |
| Booking date: | Jan 9, 2012 |
| Booking location: | Volusia County, FL |
| Offense date: | Jan 9, 2012 |
| General offense code: | DOMESTIC BATTERY |
| Case number: | 2012 030356 MMAES |
| Arrest type: | ONV |
| Agency report number: | 12000250 |