| Date of birth: | May 13, 1960 |
| Hair: | Blond/strawberry |
| Eyes: | Hazel |
| Number: | 00045687 |
| Booking date: | Sep 23, 2011 |
| Release date: | Sep 23, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03-1a2 - BATTERY CAUSE BODILY HARM |
| Offense date: | Sep 22, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | Sep 22, 2011 |