| Date of birth: | Aug 17, 1949 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00011513 |
| Booking date: | Mar 24, 2002 |
| Release date: | Mar 24, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.045 - AGGRAVATED BATTERY(DOMV) |
| Offense date: | Mar 24, 2002 |
| Bond amount: | $7,500 |