| Date of birth: | Oct 11, 1930 |
| Inmate status: | In Custody |
| Booking number: | 990126 |
| Booking date: | Jan 13, 2017 |
| Booking location: | Volusia County, FL |
| Offense date: | Jan 13, 2017 |
| General offense code: | BATTERY |
| Case number: | 2017 100214 MMDL |
| Bond amount due 1: | No Bond |
| Arrest type: | ONV |
| Agency report number: | 170000306 |