| Date of birth: | Oct 10, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00047515 |
| Booking number: | 2012003230 |
| Booking date: | Jun 11, 2012 |
| Release date: | Jun 16, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - ST JOHNS CO, SIMPLE BATTERY |
| Offense date: | Jun 11, 2012 |
| Case number: | 11-2591MM |