| Date of birth: | Oct 21, 1959 |
| Hair: | Red/auburn |
| Eyes: | Green |
| Number: | 00017800 |
| Booking date: | Jan 3, 2004 |
| Release date: | Jan 3, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POSSESSION OF COCAINE |
| Offense date: | Jan 3, 2004 |
| Statute: | 893.147 - POSSESSION OF DRUG PARAPHERNALIA |
| Offense date: | Jan 3, 2004 |