| Date of birth: | Sep 14, 1948 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00018290 |
| Booking number: | 2004000911 |
| Booking date: | Feb 8, 2004 |
| Release date: | Apr 7, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI/ DWLSR |
| Offense date: | Feb 8, 2004 |
| Case number: | 04CT421S |