| Date of birth: | Oct 21, 1966 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00008986 |
| Booking date: | Jul 19, 2001 |
| Release date: | Jul 19, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.08 - (HOLD FOR WALTON CO) ASSAULT;BATTERY ON PERSONS 65 YEARS OF AGE OR OLDER |
| Offense date: | Jul 19, 2001 |
| Bond amount: | $2,500 |