| Date of birth: | Mar 19, 1955 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00045350 |
| Booking number: | 2011004445 |
| Booking date: | Aug 6, 2011 |
| Release date: | Aug 7, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY |
| Offense date: | Aug 6, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Aug 6, 2011 |