| Date of birth: | Jul 20, 1952 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00007895 |
| Booking date: | Jan 15, 2005 |
| Release date: | Jan 15, 2005 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE (REFUSED URINRE SAMPLE) |
| Offense date: | Jan 15, 2005 |
| Bond amount: | $1,000 |