| Date of birth: | Mar 29, 1962 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00037490 |
| Booking number: | 2008007982 |
| Booking date: | Oct 5, 2008 |
| Release date: | Oct 6, 2008 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY (DOMESTIC) |
| Offense date: | Oct 5, 2008 |
| Arrest date: | Oct 5, 2008 |