| Date of birth: | Dec 18, 1959 |
| Ethnicity: | AMERICAN (US) |
| Arresting agency: | GEORGETOWN SHERIFF'S OFFICE |
| Booking number: | GC10121511894 |
| Booking date: | Oct 12, 2015 |
| Release date: | Oct 13, 2015 |
| Booking location: | Georgetown County, SC |
| Charge: | SIMPLE ASSAULT |
| Bailamount: | $2,130.00 |