| Date of birth: | Jul 29, 1951 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate status: | N |
| Inmate number: | 10007762 |
| Booking number: | B10011523 |
| Booking date: | Sep 24, 2010 |
| Booking age: | 1959 |
| Release date: | Sep 24, 2010 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY TOUCH OR STRIKE |
| Violation code: | 784.03-1a1 |
| Obts: | 6601035979 |
| Charge number: | 1 |
| Arrest location: | WCSO TURNED SELF IN |
| Arrest date: | Jul 31, 2010 |
| Agency case: | 10-003055 |