| Date of birth: | Jun 13, 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00016321 |
| Booking date: | Jul 23, 2003 |
| Release date: | Jul 23, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.067 - FALSE INFO REGARDING TRAFFIC CRASH |
| Offense date: | Jul 23, 2003 |
| Bond amount: | $750 |