| Date of birth: | Jul 11, 1964 |
| Hair: | Red/auburn |
| Eyes: | Hazel |
| Inmate number: | 00021296 |
| Inmate status: | ACTIVE |
| DC number: | S22280 |
| Booking number: | 2004007990 |
| Booking date: | Nov 7, 2004 |
| Release date: | Nov 8, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking location: | Manatee County, FL |
| Statute: | 784.03 - BATTERY DOMV |
| Offense date: | Nov 7, 2004 |
| Bond amount: | $1,000 |