| Date of birth: | Jan 2, 1964 |
| Hair: | Blond/strawberry |
| Eyes: | Brown |
| Number: | 00021995 |
| Booking date: | Jan 10, 2005 |
| Release date: | Jan 11, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 741.31 - VIOLATE INJUNCTION FOR PROTECTION AGAINST DOMESTIC VI |
| Offense date: | Jan 10, 2005 |
| Case number: | 05MM158 |