| Date of birth: | Jan 15, 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00021070 |
| Booking date: | Oct 18, 2004 |
| Release date: | Oct 18, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI |
| Offense date: | Oct 18, 2004 |
| Bond amount: | $1,500 |
| Statute: | 893.13 - POM |
| Offense date: | Oct 18, 2004 |
| Bond amount: | $1,500 |