| Date of birth: | Aug 22, 1955 |
| Hair: | Blond/strawberry |
| Eyes: | Blue |
| Number: | 00021808 |
| Booking date: | Dec 29, 2004 |
| Release date: | Jul 30, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014 - GT/FRAUDULENT RECEIPT |
| Offense date: | Dec 29, 2004 |
| Case number: | 04CF2904 |
| Statute: | 941.02 - FFJ LAUDERDALE (MISSISSIPPI)/UFI |
| Offense date: | Dec 29, 2004 |