| Date of birth: | Oct 3, 1957 |
| Ethnicity: | AMERICAN (US) |
| Arresting agency: | ANDREWS POLICE DEPARTMENT |
| Booking number: | GC11111500077 |
| Booking date: | Nov 12, 2015 |
| Release date: | Nov 13, 2015 |
| Booking location: | Georgetown County, SC |
| Charge: | ASSAULT / ASSAULT & BATTERY 3RD DEGREE |
| Bailamount: | $500.00 |