| Date of birth: | Aug 31, 1949 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 00018128 |
| Booking number: | 2004000515 |
| Booking date: | Jan 22, 2004 |
| Release date: | Jan 23, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI |
| Offense date: | Jan 22, 2004 |
| Bond amount: | $175 |