| Date of birth: | Jul 26, 1964 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 11014023 |
| Active: | N |
| Booking number: | B15025650 |
| Booking date: | Jan 5, 2015 |
| Release date: | Jan 6, 2015 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY TOUCH OR STRIKE (DOMESTIC VIOLENCE) |
| Violation code: | 784.03(1A1) |
| Required cash amount: | $0 |
| Obts number: | 6601047454 |
| Clear type: | SURETY BOND |
| Charge number: | 1 |
| Bond number: | E058881 |
| Bond amount: | $0 |
| Arrest location: | 40 ISLAND GROVE DRIVE |
| Arrest date: | Jan 5, 2015 |
| Agency case number: | 14006406 |