| Date of birth: | Sep 29, 1942 |
| Ethnicity: | AMERICAN (US) |
| Arresting agency: | HORRY COUNTY PD |
| Booking number: | HC07141546455 |
| Booking date: | Jul 14, 2015 |
| Release date: | Jul 15, 2015 |
| Booking location: | Horry County, SC |
| Description: | ASSAULT / ASSAULT & BATTERY 3RD DEGREE |
| Bond amount: | $2,500 |