| Date of birth: | May 18, 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00030757 |
| Booking date: | Jan 10, 2007 |
| Release date: | Feb 15, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045 - AGGRAVATED BATTERY |
| Offense date: | Jan 10, 2007 |
| Case number: | 07CF111S |
| Bond amount: | $2,500 |