| Date of birth: | May 23, 1951 |
| Hair: | Gray and black |
| Eyes: | Brown |
| Pob: | ELMHURST |
| Photo number: | 11S0NU9P |
| Moustache: | Mustache |
| Inmate number: | 1801037571 |
| Employment: | Retired |
| Build: | Average/medium |
| Beard: | No Beard |
| Arresting agency: | Flagler County Sheriff's Office |
| Booking number: | 2012-00003323 |
| Booking date: | Dec 29, 2012 |
| Booking location: | Flagler County, FL |
| Statute: | 784.03dv |
| Desc: | Battery Domestic Violence |
| Bond amount: | $0 |