| Date of birth: | Jan 19, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00034030 |
| Booking date: | Oct 28, 2007 |
| Release date: | Oct 31, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | 741.31 - VIOLATE INJUNCTION FOR PROTECTION AGAINST DOMESTIC VI |
| Offense date: | Oct 28, 2007 |
| Bond amount: | $500 |