| Date of birth: | Jan 11, 1965 |
| Hair: | Blond |
| Third party agency: | PPD |
| Marital status: | S |
| Case no: | 0000000000 |
| Booking number: | 2011013466 |
| Booking date: | Oct 16, 2011 |
| Booking location: | Manatee County, FL |
| Statute number: | 784.045-1A1 |
| Seq: | 1 |
| Sec chrg: | DOMESTIC |
| Fel misd: | F |
| Charge description: | GREAT BODILY HARM/DISABILITY/DISFIG |
| Bond status: | BDSR |
| Bond amount: | $1,000 |
