| Date of birth: | Nov 10, 1959 |
| Hair: | Blond/strawberry |
| Eyes: | Blue |
| Number: | 00003713 |
| Booking date: | Apr 12, 2004 |
| Release date: | Apr 12, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Apr 12, 2004 |
| Bond amount: | $1,000 |