| Date of birth: | May 12, 1959 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00021503 |
| Booking date: | Nov 29, 2004 |
| Release date: | Nov 29, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR (HABITUAL OPFFENDER) |
| Offense date: | Nov 29, 2004 |
| Bond amount: | $2,000 |