| Date of birth: | Jun 4, 1940 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00009085 |
| Booking date: | Jul 29, 2001 |
| Release date: | Oct 13, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 324.221 - NO INS/DWLSR/LSOA W/PD |
| Offense date: | Jul 29, 2001 |
| Case number: | 01-1857CT |