| Date of birth: | Dec 5, 1960 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 30478860 |
| Booked at: | BUCKS COUNTY |
| Cob: | UNITED STATES OF AMERICA |
| Citizen: | UNITED STATES OF AMERICA |
| Booking date: | Dec 15, 2004 |
| Release date: | Dec 15, 2005 |
| Booking location: | Bucks County, PA |
| Offense date: | Dec 15, 2004 |
| Grade: | M |
| Description: | DRIVING UNDER INFLUENCE-ACCIDENT/1ST OFFENSE |
| Code: | 753802 |
| Case number: | 2004006040 |
| Grade: | S |
| Description: | DRG LIC SUS/REV PURS TO SEC 3731/1547B1 |
| Code: | 751543B |
| Case number: | 2004006040 |