| Date of birth: | Aug 28, 1946 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00036408 |
| Booking date: | Jun 16, 2008 |
| Release date: | Jun 16, 2008 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/DWLSR |
| Offense date: | Jun 16, 2008 |
| Case number: | 07CT000182 C |
| Bond amount: | $5,000 |