| Date of birth: | Oct 29, 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00021378 |
| Booking number: | 2004008177 |
| Booking date: | Nov 14, 2004 |
| Release date: | Dec 2, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR(KNOWINGLY) |
| Offense date: | Nov 14, 2004 |
| Case number: | 04CT851 |