| Date of birth: | May 9, 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00023218 |
| Booking date: | Apr 13, 2005 |
| Release date: | Apr 13, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Apr 13, 2005 |
| Bond amount: | $350 |
| Statute: | 316.646 - NO PROOF OF INSURANCE |
| Offense date: | Apr 13, 2005 |
| Bond amount: | $350 |