| Date of birth: | Aug 27, 1951 |
| Hair: | Blond/strawberry |
| Eyes: | Blue |
| Number: | 00021207 |
| Booking date: | Oct 30, 2004 |
| Release date: | Nov 28, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CIVIL COMMIT/CHILD SUPPORT |
| Offense date: | Oct 30, 2004 |
| Case number: | 96908FD |