| Date of birth: | Aug 15, 1946 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00007252 |
| Booking date: | Nov 29, 2002 |
| Release date: | Nov 29, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.061 - LEAVE SCENE TRAFFIC CRASH |
| Offense date: | Nov 29, 2002 |
| Bond amount: | $1,000 |
| Statute: | 322.34 - DWLSR |
| Offense date: | Nov 29, 2002 |
| Bond amount: | $1,000 |
| Statute: | DEL.9999.999 - NO INSURANCE |
| Offense date: | Nov 29, 2002 |
| Bond amount: | $1,000 |