| Date of birth: | Feb 10, 1957 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00040919 |
| Booking date: | Nov 30, 2009 |
| Release date: | Dec 2, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - SANTA ROSA (FTA DWLSR) |
| Offense date: | Nov 30, 2009 |
| Bond amount: | $350 |
| Statute: | 901.04 - ESCAMBIA COUNTY (BATTERY) |
| Offense date: | Nov 30, 2009 |