| Date of birth: | Mar 12, 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00012212 |
| Booking date: | Jan 17, 2004 |
| Release date: | Jan 19, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | May 28, 2002 |
| Release date: | May 28, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.147 - POSSESSION OF NARCOTICS PARAPHERNALIA |
| Offense date: | Jan 17, 2004 |
| Bond amount: | $350 |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE |
| Offense date: | May 28, 2002 |
| Bond amount: | $1,000 |