| Date of birth: | Sep 15, 1961 |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 00045857 |
| Booking number: | 2011005841 |
| Booking date: | Oct 15, 2011 |
| Release date: | Oct 16, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY TOUCH OR STRIKE DOMV |
| Offense date: | Oct 15, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Oct 15, 2011 |