| Date of birth: | Apr 21, 1951 |
| Hair: | Black |
| Eyes: | Black |
| Number: | 00001138 |
| Booking date: | Dec 26, 1999 |
| Release date: | Dec 31, 1999 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045 - AGGRAVATED BATTERY(DOMV) |
| Offense date: | Dec 26, 1999 |
| Bond amount: | $7,500 |