| Date of birth: | Jun 26, 1962 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00047318 |
| Booking number: | 2012002759 |
| Booking date: | May 19, 2012 |
| Release date: | May 21, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY DOMV |
| Offense date: | May 18, 2012 |
| Bond amount: | $1,000 |