| Date of birth: | Oct 30, 1949 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 11009351 |
| Booking number: | B11015861 |
| Booking date: | Dec 12, 2012 |
| Booking age: | 1963 |
| Release date: | Dec 13, 2011 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description 2: | AGGRAVATED BATTERY (DOMV) |
| Violation description: | CAUSE BODILY HARM OR DISABILITY |
| Violation code: | 784.045(1A1) |
| Required cash amount: | $0 |
| Obts: | 6601039010 |
| Clear type: | ROR |
| Charge number: | 1 |
| Bond type: | OTHER |
| Bond amount: | $0 |
| Arrest location: | 1475 FLOWERVIEW BLVD |
| Arrest date: | Dec 12, 2011 |
| Agency case: | 04-028666 |
