| Date of birth: | Oct 20, 1964 |
| Hair: | Gray |
| Eyes: | Green |
| Number: | 00024065 |
| Booking date: | Jun 16, 2005 |
| Release date: | Jun 16, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - CHILD ABUSE |
| Offense date: | Jun 16, 2005 |
| Statute: | 784.011 - ASSAULT (DOMV) |
| Offense date: | Jun 16, 2005 |