| Date of birth: | 1956 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00049979 |
| Booking number: | 2013002623 |
| Booking date: | May 8, 2013 |
| Release date: | May 8, 2013 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34-2a - DRIVE WHILE LIC SUSP 1ST OFF |
| Offense date: | May 8, 2013 |
| Bond amount: | $300 |