| Date of birth: | Oct 16, 1954 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00048920 |
| Booking number: | 2012007355 |
| Booking date: | Dec 13, 2012 |
| Release date: | Dec 14, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATT DOMV |
| Offense date: | Dec 13, 2012 |
| Arrest date: | Dec 13, 2012 |