| Date of birth: | Jan 9, 1942 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 00018085 |
| Booking number: | 2004000436 |
| Booking date: | Jan 18, 2004 |
| Release date: | Jan 19, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE |
| Offense date: | Jan 18, 2004 |
| Bond amount: | $2,500 |