| Date of birth: | Oct 1, 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00024747 |
| Booking date: | Aug 9, 2005 |
| Release date: | Sep 2, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.03 - NVDL |
| Offense date: | Aug 9, 2005 |
| Statute: | DEL.9999.999 - NO INSURANCE |
| Offense date: | Aug 9, 2005 |