| Date of birth: | Jul 10, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00016747 |
| Booking date: | Aug 31, 2003 |
| Release date: | Aug 31, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DRIVING WHILE LICENSE SUSPENDED OR REVOKED |
| Offense date: | Aug 31, 2003 |
| Bond amount: | $250 |