| Date of birth: | Nov 8, 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00014794 |
| Booking date: | Feb 20, 2003 |
| Release date: | Feb 20, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POM |
| Offense date: | Feb 20, 2003 |
| Bond amount: | $350 |
| Statute: | 322.34 - DWLSR |
| Offense date: | Feb 20, 2003 |
| Bond amount: | $350 |