| Date of birth: | Jun 17, 1955 |
| Inmate status: | Not In Custody |
| Booking number: | 864491 |
| Booking date: | Dec 24, 2011 |
| Booking location: | Volusia County, FL |
| Offense date: | Dec 24, 2011 |
| General offense code: | DOMESTIC BATTERY |
| Case number: | 2011 051759 MMAES |
| Arrest type: | ONV |
| Agency report number: | 11120294 |