| Date of birth: | Oct 10, 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00030358 |
| Booking date: | Dec 4, 2006 |
| Release date: | Dec 5, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021 - AGG ASSLT W/ FA WO INT |
| Offense date: | Dec 4, 2006 |
| Bond amount: | $10,000 |
| Statute: | 784.03 - BATT DOMV |
| Offense date: | Dec 4, 2006 |
| Bond amount: | $10,000 |
