| Date of birth: | Mar 21, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00023099 |
| Booking date: | Apr 4, 2005 |
| Release date: | Apr 6, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.147 - POP |
| Offense date: | Apr 4, 2005 |
| Bond amount: | $2,500 |
| Statute: | 893.147 - POM>20 |
| Offense date: | Apr 4, 2005 |
| Bond amount: | $2,500 |