| Date of birth: | Oct 7, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00016347 |
| Booking date: | Jul 25, 2003 |
| Release date: | Jul 25, 2003 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI (REFUSED) |
| Offense date: | Jul 25, 2003 |
| Bond amount: | $2,000 |
| Statute: | 316.193 - SECOND REFUSAL OF A CHEMICAL TEST |
| Offense date: | Jul 25, 2003 |
| Bond amount: | $2,000 |
