| Date of birth: | Sep 24, 1953 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate status: | N |
| Inmate number: | 09005585 |
| Booking number: | B09005764 |
| Booking date: | Jun 11, 2009 |
| Booking age: | 1955 |
| Release date: | Jun 11, 2009 |
| Booking location: | Walton County, FL |
| Violation level: | 1 |
| Violation description: | BATTERY (DOMV.) |
| Violation code: | 784.03 |
| Obts: | 6601032225 |
| Charge number: | 1 |
| Arrest location: | SACRED HEART HOSITAL |
| Arrest date: | Jun 11, 2009 |
| Agency case: | 09005550 |
