| Date of birth: | Jun 10, 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00015795 |
| Booking date: | Jun 6, 2003 |
| Release date: | Jun 9, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 827.03.1B - CHILD ABUSE(DOMV) |
| Offense date: | Jun 6, 2003 |
| Bond amount: | $5,000 |
| Statute: | 784.011 - ASSAULT(DOMV) |
| Offense date: | Jun 6, 2003 |
| Bond amount: | $5,000 |