| Date of birth: | Jan 28, 1955 |
| Hair: | Gray |
| Eyes: | Blue |
| Number: | 00005579 |
| Booking date: | Sep 19, 2000 |
| Release date: | Sep 25, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15 - FTA/ NO VALID D.L. |
| Offense date: | Sep 19, 2000 |
| Case number: | 98-1957CTS |
| Bond amount: | $250 |