| Date of birth: | Jan 20, 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | Y |
| Inmate number: | 03004212 |
| Booking number: | B11015736 |
| Booking date: | Nov 26, 2011 |
| Booking age: | 1946 |
| Release date: | Jan 1, 1970 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description 2: | AGG BATT (DOMV) |
| Violation description: | CAUSE BODILY HARM OR DISABILITY |
| Violation code: | 784.045(1A1) |
| Required cash amount: | $0 |
| Obts: | 6601038887 |
| Court case: | 11005123 |
| Charge number: | 1 |
| Bond amount: | $0 |
| Arrest location: | 212 REDFISH RD |
| Arrest date: | Nov 26, 2011 |
| Agency case: | 11003895 |
