| Date of birth: | Jul 14, 1954 |
| Hair: | Red/auburn |
| Eyes: | Hazel |
| Number: | 00015169 |
| Booking date: | Apr 2, 2003 |
| Release date: | Apr 2, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13.6B - POM |
| Offense date: | Apr 2, 2003 |
| Bond amount: | $1,000 |
| Statute: | 893.147 - POP |
| Offense date: | Apr 2, 2003 |
| Bond amount: | $1,000 |