| Date of birth: | Sep 8, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00046247 |
| Booking number: | 2011006960 |
| Booking date: | Dec 17, 2011 |
| Release date: | Dec 17, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | Dec 17, 2011 |