| Date of birth: | May 23, 1946 |
| Inmate status: | Not In Custody |
| Booking number: | 858639 |
| Booking date: | Oct 3, 2011 |
| Booking location: | Volusia County, FL |
| Offense date: | Oct 3, 2011 |
| General offense code: | DOMESTIC BATTERY |
| Case number: | 2011 007854 MMAWS |
| Arrest type: | ONV |
| Agency report number: | 11029650 |