| Date of birth: | Aug 3, 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00048197 |
| Booking number: | 2012005199 |
| Booking date: | Sep 3, 2012 |
| Release date: | Sep 3, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY TOUCH OR STRIKE |
| Offense date: | Sep 2, 2012 |
| Bond amount: | $1,000 |
| Arrest date: | Sep 2, 2012 |