| Date of birth: | Oct 4, 1952 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 170993 |
| Booking location: | Leon County, FL |
| Statute: | 322.34 2A |
| Release date: | Nov 6, 2004 |
| Offense date: | Nov 6, 2004 |
| Clerk case: | 2004CT6163A1 |
| Charge literal: | VOP/NONMOVING TRAFFIC VIOL DRIVE WHILE LIC SUSP 1ST OFF |
| Booking date: | Nov 6, 2004 |
| Booking agency: | FLORIDA HIGHWAY PATROL HQ TALLAHASSEE |
| Agency report: | FHP[ 04019250 |