| Date of birth: | Sep 8, 1953 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate status: | N |
| Inmate number: | 11009986 |
| Booking number: | B12017343 |
| Booking date: | Jun 17, 2012 |
| Booking age: | 1958 |
| Release date: | Jun 19, 2012 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | SIMPLE ASSLT INTENT THREAT TO DO VIOLENCE |
| Violation code: | 784.011 |
| Required cash amount: | $0 |
| Obts: | 6601040333 |
| Clear type: | CASH ONLY |
| Charge number: | 1 |
| Bond amount: | $1,000 |
| Arrest location: | 82 VETERANS RD |
| Arrest date: | Jun 17, 2012 |
| Agency case: | 12003494 |