| Date of birth: | Feb 24, 1953 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00017385 |
| Booking number: | 2003006907 |
| Booking date: | Nov 1, 2003 |
| Release date: | Nov 2, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI(REFUSAL) |
| Offense date: | Nov 1, 2003 |
| Bond amount: | $500 |