| Date of birth: | Oct 12, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00019015 |
| Booking number: | 2004002750 |
| Booking date: | Apr 20, 2004 |
| Release date: | May 31, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34 - DWLSR |
| Offense date: | Apr 20, 2004 |
| Case number: | 04CT926 |