| Date of birth: | Nov 23, 1938 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00010325 |
| Booking date: | Aug 17, 2004 |
| Release date: | Aug 17, 2004 |
| Booking location: | Okaloosa County, FL |
| Booking date: | Nov 24, 2001 |
| Release date: | Nov 24, 2001 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Aug 17, 2004 |
| Bond amount: | $500 |
| Statute: | DEL.9999.999 - DRIVING WHILE LICENSE PERMANENTLY REVOKED |
| Offense date: | Nov 24, 2001 |
| Bond amount: | $500 |
