| Date of birth: | Dec 23, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00028716 |
| Booking date: | Jul 15, 2006 |
| Release date: | Jul 18, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POC |
| Offense date: | Jul 15, 2006 |
| Bond amount: | $2,500 |
| Statute: | 893.147 - POP |
| Offense date: | Jul 15, 2006 |
| Bond amount: | $2,500 |