| Date of birth: | Jun 30, 1960 |
| Hair: | Gray |
| Inmate number: | 11011064 |
| Active: | Y |
| Booking number: | B13019907 |
| Booking date: | May 5, 2013 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY TOUCH OR STRIKE (DOMESTIC VIOLENCE); DOMV |
| Violation code: | 784.03(1A1) |
| Required cash amount: | $0 |
| Obts number: | 6601042600 |
| Charge number: | 1 |
| Bond amount: | $0 |
| Arrest location: | 291 COLLAGE AV (PALMER HOUSE APTS) |
| Arrest date: | May 5, 2013 |
| Agency case number: | 1305050036 |
