| Date of birth: | Dec 9, 1945 |
| Hair: | Gra |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 11008363 |
| Booking number: | B11013463 |
| Booking date: | Mar 20, 2011 |
| Booking age: | 1965 |
| Release date: | Mar 21, 2011 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | TOUCH OR STRIKE DOM VIOL |
| Violation code: | 784.03(1a1) |
| Obts: | 6601037189 |
| Charge number: | 1 |
| Arrest location: | 34 GOOGWIN RD DFS |
| Arrest date: | Mar 20, 2011 |
| Agency case: | 11001171 |