| Date of birth: | May 3, 1950 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate status: | N |
| Inmate number: | 11009763 |
| Booking number: | B12016778 |
| Booking date: | Apr 8, 2012 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description 2: | BATTERY - DOMV |
| Violation description: | BATTERY TOUCH OR STRIKE |
| Violation code: | 784.03(1A1) |
| Required cash amount: | $0 |
| Obts: | 6601039798 |
| Clear type: | SURETY |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond number: | AS6K326247 |
| Bond amount: | $1,000 |
| Arrest location: | 1358 CO HWY 147 |
| Arrest date: | Apr 8, 2012 |
| Agency case: | 12-02233 |