| Date of birth: | Jan 28, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00015314 |
| Booking date: | Apr 15, 2003 |
| Release date: | Apr 15, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13.6B - POM |
| Offense date: | Apr 15, 2003 |
| Bond amount: | $1,500 |
| Statute: | 316.193 - DUI |
| Offense date: | Apr 15, 2003 |
| Bond amount: | $1,500 |
| Statute: | 893.147 - POP |
| Offense date: | Apr 15, 2003 |
| Bond amount: | $1,500 |