| Date of birth: | Aug 25, 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00045814 |
| Booking number: | 2011005722 |
| Booking date: | Oct 9, 2011 |
| Release date: | Oct 10, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Oct 9, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Oct 9, 2011 |