| Date of birth: | Oct 4, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00021227 |
| Booking date: | Oct 31, 2004 |
| Release date: | Oct 31, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE |
| Offense date: | Oct 31, 2004 |
| Bond amount: | $500 |