| Date of birth: | Jul 29, 1959 |
| Hair: | Blond |
| Eyes: | Blue |
| Inmate status: | N |
| Inmate number: | 09004917 |
| Booking number: | B09004185 |
| Booking date: | Jan 1, 2009 |
| Booking age: | 1949 |
| Release date: | Jan 1, 2009 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | CAUSE BODILY HARM DOMV |
| Violation code: | 784.03(1a2) |
| Obts: | 6601030979 |
| Charge number: | 1 |
| Arrest location: | SANTA ROSA BCH FL |
| Arrest date: | Dec 31, 2008 |
| Agency case: | 08008254 |