| Date of birth: | Jan 19, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00044632 |
| Booking date: | May 4, 2011 |
| Release date: | May 4, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193-1 - DUI REFUSAL |
| Offense date: | May 3, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | May 3, 2011 |
| Statute: | 316.061 - LSOA |
| Offense date: | May 3, 2011 |
| Bond amount: | $1,000 |
| Arrest date: | May 3, 2011 |