| Date of birth: | Aug 4, 1958 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00014034 |
| Booking date: | Mar 12, 2003 |
| Release date: | Mar 12, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR W/ PRIOR CONVICTION |
| Offense date: | Mar 12, 2003 |
| Case number: | 2003CF000388S |
| Bond amount: | $1,000 |