| Date of birth: | Jul 21, 1966 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00044625 |
| Booking date: | May 3, 2011 |
| Release date: | May 3, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193-1 - DUI REFUSAL |
| Offense date: | May 2, 2011 |
| Bond amount: | $2,000 |
| Arrest date: | May 2, 2011 |