| Date of birth: | Aug 13, 1955 |
| Hair: | Gray |
| Eyes: | Hazel |
| Number: | 00018230 |
| Booking date: | Jul 21, 2010 |
| Release date: | Jul 21, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34-2a - DRIVE WHILE LIC SUSP 1ST OFF |
| Offense date: | Jul 21, 2010 |
| Statute: | 316.646-4 - DRIVER PRESENT NON CURRENT INSURANCE |
| Offense date: | Jul 21, 2010 |