| Date of birth: | Jan 30, 1957 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00025510 |
| Booking date: | Oct 10, 2005 |
| Release date: | Oct 10, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 832.05 - WORTHLESS CHECK-MAKE/UTTER/ISSUE |
| Offense date: | Oct 10, 2005 |
| Case number: | 05MM009875 |
| Bond amount: | $603 |