| Date of birth: | Sep 7, 1947 |
| Hair: | Brown |
| Eyes: | Green |
| Number: | 00009513 |
| Booking date: | Sep 3, 2001 |
| Release date: | Sep 4, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 499.03 - POSSESS NEW LEGEND DRUG W/O PRESCIPTION |
| Offense date: | Sep 3, 2001 |
| Bond amount: | $2,000 |
| Statute: | 832.05 - WORTHLESS CHECKS(ALACHUA CO) |
| Offense date: | Sep 3, 2001 |