| Date of birth: | Mar 10, 1946 |
| Hair: | Red/auburn |
| Eyes: | Green |
| Inmate number: | 00019260 |
| Booking number: | 2004003383 |
| Booking date: | May 13, 2004 |
| Release date: | May 13, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI |
| Offense date: | May 13, 2004 |
| Bond amount: | $500 |