| Date of birth: | Oct 12, 1965 |
| Hair: | Blond/strawberry |
| Eyes: | Green |
| Inmate number: | 00019352 |
| Booking number: | 2004003641 |
| Booking date: | May 22, 2004 |
| Release date: | May 23, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - ALTERED/FORGED PRESCRIPTION |
| Offense date: | May 22, 2004 |
| Bond amount: | $3,500 |