| Date of birth: | Apr 27, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00018208 |
| Booking number: | 2004000715 |
| Booking date: | Jan 31, 2004 |
| Release date: | Jan 31, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DRIVING WHILE LICENSE SUSPENDED OR REVOKED |
| Offense date: | Jan 31, 2004 |
| Bond amount: | $300 |