| Date of birth: | Jul 25, 1957 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00046043 |
| Booking number: | 2011006324 |
| Booking date: | Nov 11, 2011 |
| Release date: | Nov 12, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATT DOMV |
| Offense date: | Nov 11, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Nov 11, 2011 |