| Date of birth: | Aug 7, 1957 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00016887 |
| Booking date: | Sep 15, 2003 |
| Release date: | Jan 2, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 316.193 - DUI/DUBAL (W/SERIOUS BODILY INJURY) (ORIG MM CASE # 03CT3085) |
| Offense date: | Sep 15, 2003 |
| Case number: | 03CF1824 |
| Bond amount: | $20,000 |
| Statute: | 322.34 - DWLSR |
| Offense date: | Sep 15, 2003 |
| Case number: | 03CF1824 |
| Bond amount: | $20,000 |
| Statute: | 893.13 - POM UNDER 20GM/POP |
| Offense date: | Sep 15, 2003 |
| Case number: | 03CF1824 |
| Bond amount: | $20,000 |
