| Date of birth: | Nov 30, 1931 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00012220 |
| Booking number: | 2002003213 |
| Booking date: | May 29, 2002 |
| Release date: | May 29, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DRIVING WHILE LICENSE SUSPENDED OR REVOKED |
| Offense date: | May 29, 2002 |
| Bond amount: | $1,000 |
| Statute: | DEL.9999.999 - LEAVING SCENE WITH PROPERTY DAMAGE |
| Offense date: | May 29, 2002 |
| Statute: | DEL.9999.999 - ATTACHING TAG NOT ASSIGNED |
| Offense date: | May 29, 2002 |