| Date of birth: | Jun 12, 1958 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00045357 |
| Booking date: | Aug 8, 2011 |
| Release date: | Aug 23, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 741.31-4a - VIOL INJUNCTION PROTECTION DOMESTIC VIOLENCE |
| Offense date: | Aug 8, 2011 |
| Case number: | 11MM2983 |