| Date of birth: | Oct 25, 1960 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 11011586 |
| Active: | N |
| Booking number: | B13021072 |
| Booking date: | Sep 20, 2013 |
| Release date: | Sep 20, 2013 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY CAUSE BODILY HARM (DOMESTIC VIOLENCE) |
| Violation code: | 784.03(1A2) |
| Required cash amount: | $1,000 |
| Obts number: | 6601043606 |
| Clear type: | SURETY/CASH |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond number: | E058881 |
| Bond amount: | $1,000 |
| Arrest location: | 1160 SCENIC GULF DRIVE |
| Arrest date: | Sep 20, 2013 |
| Agency case number: | 13005691 |
