| Date of birth: | Jan 14, 1949 |
| Hair: | Black |
| Eyes: | Blue |
| Number: | 00003682 |
| Booking date: | May 23, 2000 |
| Release date: | May 23, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RESIST/OBST/ OFFICER WITHOUT VIOLENCE |
| Offense date: | May 23, 2000 |
| Bond amount: | $2,000 |