| Date of birth: | Apr 1, 1957 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00019630 |
| Booking number: | 2004004268 |
| Booking date: | Jun 16, 2004 |
| Release date: | Jun 16, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE |
| Offense date: | Jun 16, 2004 |
| Bond amount: | $1,000 |