| Date of birth: | Dec 4, 1962 |
| Ethnicity: | AMERICAN (US) |
| Arresting agency: | ANDREWS POLICE DEPARTMENT |
| Booking number: | GC11151500114 |
| Booking date: | Nov 15, 2015 |
| Release date: | Nov 15, 2015 |
| Booking location: | Georgetown County, SC |
| Charge: | ASSAULT / ASSAULT & BATTERY 3RD DEGREE |
| Bailamount: | NO BAIL SET |