| Date of birth: | May 24, 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00018804 |
| Booking date: | Apr 25, 2004 |
| Release date: | May 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Mar 30, 2004 |
| Release date: | Apr 14, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Apr 25, 2004 |
| Case number: | 04CT1301 |
| Statute: | 893.13 - POM |
| Offense date: | Mar 30, 2004 |
| Case number: | 04MM1000 |
| Statute: | 316.193 - REFUSAL TO SUBMIT/DUI |
| Offense date: | Mar 30, 2004 |
| Case number: | 04CT991S |
| Statute: | 316.193 - DUI |
| Offense date: | Mar 30, 2004 |
| Case number: | 04CT990S |
