| Date of birth: | May 11, 1961 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00020248 |
| Booking date: | Aug 8, 2004 |
| Release date: | Aug 11, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR/KNOWINGLY |
| Offense date: | Aug 8, 2004 |
| Case number: | 04CT2513 |
| Bond amount: | $500 |