| Date of birth: | Mar 20, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 11012906 |
| Active: | N |
| Booking number: | B14023368 |
| Booking date: | May 1, 2014 |
| Release date: | May 1, 2014 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY TOUCH OR STRIKE (DOMESTIC VIOLENCE) |
| Violation code: | 784.03(1A1) |
| Required cash amount: | $0 |
| Obts number: | 6601045674 |
| Clear type: | CASH ONLY |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond number: | 6138954472 |
| Bond amount: | $1,000 |
| Arrest location: | 193 SANDPIPER BAY LOT 5C |
| Arrest date: | Apr 30, 2014 |
| Agency case number: | 002644 |