| Date of birth: | Jan 5, 1948 |
| Inmate status: | Not In Custody |
| Booking number: | 864156 |
| Booking date: | Dec 20, 2011 |
| Booking location: | Volusia County, FL |
| Offense date: | Dec 19, 2011 |
| General offense code: | VIOL.INJUNCTION FOR PROTECT.DOMESTIC VIOLENCE |
| Case number: | 2011 051506 MMAES |
| Arrest type: | ONV |
| Agency report number: | 111200340 |