| Date of birth: | Feb 22, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00046034 |
| Booking number: | 2011006301 |
| Booking date: | Nov 10, 2011 |
| Release date: | Nov 10, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY (DOMV) |
| Offense date: | Nov 9, 2011 |
| Arrest date: | Nov 9, 2011 |