| Date of birth: | Sep 5, 1962 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00046955 |
| Booking number: | 2012001697 |
| Booking date: | Mar 29, 2012 |
| Release date: | Mar 29, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a1 - BATTERY-DOMV-TOUCH OR STRIKE |
| Offense date: | Mar 29, 2012 |
| Bond amount: | $1,000 |