| Date of birth: | Aug 17, 1952 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00006847 |
| Booking number: | 2012004379 |
| Booking date: | Jul 28, 2012 |
| Release date: | Jul 29, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Jul 28, 2012 |