| Date of birth: | Jul 8, 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00014290 |
| Booking date: | Dec 25, 2004 |
| Release date: | Dec 27, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.07 - BATT LEO |
| Offense date: | Dec 25, 2004 |
| Bond amount: | $1,500 |
| Statute: | 843.02 - RAWOV |
| Offense date: | Dec 25, 2004 |
| Bond amount: | $1,500 |