| Date of birth: | Feb 9, 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00003597 |
| Booking date: | Jan 27, 2004 |
| Release date: | Feb 23, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/DUI,VOP/DRIVER OPEN CONT ALCOHOL |
| Offense date: | Jan 27, 2004 |
| Case number: | 00CT1336S |