| Date of birth: | Feb 3, 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00013297 |
| Booking date: | Sep 5, 2002 |
| Release date: | Sep 5, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP/BATT(DOMV), SANTA ROSA |
| Offense date: | Sep 5, 2002 |
| Case number: | 98-1163MMA |
| Statute: | DEL.9999.999 - HOLD FOR SANTA ROSA CO |
| Offense date: | Sep 5, 2002 |
| Statute: | DEL.9999.999 - HOLD FOR MI |
| Offense date: | Sep 5, 2002 |