| Date of birth: | Apr 30, 1954 |
| Hair: | Blond/strawberry |
| Eyes: | Hazel |
| Number: | 00018732 |
| Booking date: | Mar 23, 2004 |
| Release date: | Apr 20, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY(DOMV) |
| Offense date: | Mar 23, 2004 |
| Case number: | 04MM921 |