| Date of birth: | Mar 1, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00042205 |
| Booking number: | 2010002818 |
| Booking date: | May 15, 2010 |
| Release date: | May 16, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY (DOMV) |
| Offense date: | May 15, 2010 |
| Bond amount: | $500 |
| Arrest date: | May 15, 2010 |