| Date of birth: | Dec 2, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00016866 |
| Booking number: | 2003005685 |
| Booking date: | Sep 11, 2003 |
| Release date: | Oct 7, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI (REFUSAL) |
| Offense date: | Sep 11, 2003 |
| Statute: | 316.193 - REFUSAL TO SIGN CITATION (2ND REFUSAL) |
| Offense date: | Sep 11, 2003 |
| Statute: | 322.34 - DWLSR |
| Offense date: | Sep 11, 2003 |
| Statute: | 316.061 - LSOA W/PROP DAMAGE |
| Offense date: | Sep 11, 2003 |
| Statute: | DEL.9999.999 - NO PROOF INSURANCE |
| Offense date: | Sep 11, 2003 |