| Date of birth: | Nov 11, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 11009489 |
| Booking number: | B12016163 |
| Booking date: | Jan 21, 2012 |
| Booking age: | 1949 |
| Release date: | Jan 22, 2012 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description 2: | DOMESTIC VIOLENCE |
| Violation description: | BATTERY TOUCH OR STRIKE |
| Violation code: | 784.03(1A1) |
| Required cash amount: | $0 |
| Obts: | 6601039268 |
| Clear type: | SURETY |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond amount: | $1,000 |
| Arrest location: | 513 BAY GROVE ROAD |
| Arrest date: | Jan 21, 2012 |
| Agency case: | 12000277 |