| Date of birth: | Jan 5, 1968 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00013862 |
| Housing location: | ECHO-SECC |
| Booking number: | 2013000496 |
| Booking date: | Jan 25, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.08-2c - BATTERY DOMV ON PERSON 65 YEARS OF AGE OR OLDER |
| Offense date: | Jan 24, 2013 |
| Arrest date: | Jan 24, 2013 |