| Date of birth: | Jan 31, 1945 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00040239 |
| Booking date: | Sep 6, 2009 |
| Release date: | Sep 6, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193-1 - DUI REFUSAL |
| Offense date: | Sep 5, 2009 |
| Bond amount: | $250 |
| Arrest date: | Sep 5, 2009 |