| Date of birth: | Nov 4, 1953 |
| Hair: | Red/auburn |
| Eyes: | Blue |
| Inmate number: | 00021678 |
| Booking number: | 2004008911 |
| Booking date: | Dec 16, 2004 |
| Release date: | Dec 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY |
| Offense date: | Dec 16, 2004 |