| Date of birth: | Apr 22, 1958 |
| Hair: | Red/auburn |
| Eyes: | Green |
| Number: | 00019027 |
| Booking date: | Apr 22, 2004 |
| Release date: | Apr 22, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 787.03 - INTERFERE WITH CUSTODY |
| Offense date: | Apr 22, 2004 |
| Bond amount: | $3,500 |