| Date of birth: | Oct 13, 1957 |
| Ethnicity: | AMERICAN (US) |
| Arresting agency: | GEORGETOWN SHERIFF'S OFFICE |
| Booking number: | GC09271602561 |
| Booking date: | Sep 27, 2016 |
| Release date: | Sep 28, 2016 |
| Booking location: | Georgetown County, SC |
| Charge: | SIMPLE ASSAULT |
| Bailamount: | NO BAIL SET |