| Date of birth: | Mar 30, 1961 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00044375 |
| Booking number: | 2011001791 |
| Booking date: | Mar 30, 2011 |
| Release date: | Apr 3, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.021-1b - AGG ASSAULT W/ INTENT TO COMMIT A FELONY- DOMV (2CTS) |
| Offense date: | Mar 30, 2011 |
| Bond amount: | $20,000 |