| Date of birth: | Mar 1, 1934 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00017772 |
| Booking date: | Dec 16, 2003 |
| Release date: | Dec 16, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE |
| Offense date: | Dec 16, 2003 |
| Bond amount: | $500 |