| Date of birth: | Oct 19, 1952 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00030307 |
| Booking date: | Nov 30, 2006 |
| Release date: | Dec 1, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045 - AGGRAVATED BATTERY/DOMV (2CTS) |
| Offense date: | Nov 30, 2006 |
| Bond amount: | $3,000 |