| Date of birth: | Nov 6, 1956 |
| Hair: | Blond/strawberry |
| Eyes: | Blue |
| Number: | 00020828 |
| Booking date: | Sep 28, 2004 |
| Release date: | Sep 30, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - OBTAINING CONTROLLED SUBSTANCE BY FRAUD(9 COUNTS) |
| Offense date: | Sep 28, 2004 |
| Case number: | 04CF2219 |
| Bond amount: | $9,000 |