| Date of birth: | Nov 24, 1948 |
| Hair: | Gray |
| Eyes: | Hazel |
| Number: | 00018072 |
| Booking date: | Jan 18, 2004 |
| Release date: | Jan 18, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE |
| Offense date: | Jan 18, 2004 |
| Bond amount: | $500 |