| Date of birth: | Jun 26, 1930 |
| Hair: | Gray |
| Eyes: | Hazel |
| Number: | 00016719 |
| Booking date: | Aug 29, 2003 |
| Release date: | Aug 29, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI |
| Offense date: | Aug 29, 2003 |
| Bond amount: | $1,000 |
| Statute: | 316.193 - REFUSAL TO SIGN CITATION |
| Offense date: | Aug 29, 2003 |
| Bond amount: | $1,000 |