| Date of birth: | Jun 9, 1958 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 41921 |
| Booking number: | 2012002572 |
| Booking date: | May 10, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021-1a - AGGRAV ASSAULT DLY WEAPON WITHOUT INTENT TO KILL DOMV |
| Offense date: | May 10, 2012 |
| Arrest date: | May 10, 2012 |