| Date of birth: | Nov 16, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00019194 |
| Booking number: | 2004003251 |
| Booking date: | May 8, 2004 |
| Release date: | May 9, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI(REFUSAL) |
| Offense date: | May 8, 2004 |