| Date of birth: | Sep 25, 1955 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00016797 |
| Booking date: | Aug 26, 2009 |
| Release date: | Aug 26, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.34-2a - FTA/DWLSR |
| Offense date: | Aug 26, 2009 |
| Case number: | 09-CT-2562-S |
| Bond amount: | $500 |
| Arrest date: | Aug 26, 2009 |