| Date of birth: | May 13, 1954 |
| Hair: | Gray |
| Eyes: | Brown |
| Number: | 00045054 |
| Booking date: | Jun 29, 2011 |
| Release date: | Jun 29, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.08-2c - FEL BATTERY PERSON OVER 65 |
| Offense date: | Jun 29, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Jun 29, 2011 |