| Date of birth: | Aug 5, 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00014469 |
| Booking date: | Jan 13, 2003 |
| Release date: | Jan 13, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.027 - ACCIDENT INVOLVE DEATH/PERSONAL INJURY-FAIL TO STOP |
| Offense date: | Jan 13, 2003 |
| Case number: | 03CF117 |
| Bond amount: | $7,500 |