| Date of birth: | Mar 25, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00023540 |
| Booking date: | May 7, 2005 |
| Release date: | Jun 2, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045 - AGGRAVATED BATTERY W DEADLY WEAPON |
| Offense date: | May 7, 2005 |
| Case number: | 05CF1065 |
| Bond amount: | $10,000 |