| Date of birth: | Aug 13, 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00040966 |
| Booking date: | Dec 8, 2009 |
| Release date: | Dec 9, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193-1 - DUI (REFUSAL) |
| Offense date: | Dec 7, 2009 |
| Bond amount: | $5,000 |
| Arrest date: | Dec 7, 2009 |