| Date of birth: | Nov 28, 1959 |
| Hair: | Blond/strawberry |
| Eyes: | Brown |
| Number: | 00017447 |
| Booking date: | Nov 8, 2003 |
| Release date: | Nov 12, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 941.02 - FFJ/MISSOURI (WAIVER SIGNED) |
| Offense date: | Nov 8, 2003 |
| Statute: | DEL.9999.999 - HOLD FOR TANEY CO MISSOURI |
| Offense date: | Nov 8, 2003 |