| Date of birth: | Jan 20, 1955 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00043799 |
| Booking date: | Jan 16, 2011 |
| Release date: | Jan 16, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13-6a - POCS W/O SCRIPT |
| Offense date: | Jan 15, 2011 |
| Statute: | 316.193-1 - DUI ALCOHOL OR DRUGS 1ST OFF |
| Offense date: | Jan 15, 2011 |