| Date of birth: | Aug 2, 1964 |
| Account balance: | ($0.00) |
| Arrest date: | Jan 22, 2004 |
| Arrest officer: | Florida Highway Patrol - Deland |
| Booking number: | 200400001036 |
| Booking location: | Seminole County, FL |
| Description: | LEAVE SCENE ACCIDENT |
| Description: | FAILED TO IMMED REPORT |