| Date of birth: | Jan 27, 1963 |
| Hair: | Red/auburn |
| Eyes: | Hazel |
| Number: | 00017416 |
| Booking date: | Nov 5, 2003 |
| Release date: | Nov 6, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.01 - RESIST WITH VIOLENCE |
| Offense date: | Nov 5, 2003 |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Nov 5, 2003 |