| Date of birth: | May 20, 1960 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 11015987 |
| Active: | N |
| Booking number: | B15029063 |
| Booking date: | Oct 3, 2015 |
| Release date: | Oct 3, 2015 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | BATTERY TOUCH OR STRIKE (DOMESTIC VIOLENCE) |
| Violation code: | 784.03(1A1) |
| Required cash amount: | $0 |
| Obts number: | 6601050065 |
| Clear type: | CASH ONLY |
| Charge number: | 1 |
| Bond number: | 9574 |
| Bond amount: | $0 |
| Arrest location: | 160 SANDESTIN BLVD |
| Arrest date: | Oct 2, 2015 |
| Agency case number: | 15005782 |
