| Date of birth: | Dec 17, 1957 |
| Hair: | Blond/strawberry |
| Eyes: | Blue |
| Number: | 00019149 |
| Booking date: | May 3, 2004 |
| Release date: | Jun 4, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WORTHLESS CHECK'S 20 CTS |
| Offense date: | May 3, 2004 |
| Case number: | 02MM10239S |