| Date of birth: | Jul 16, 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00019049 |
| Booking date: | Apr 24, 2004 |
| Release date: | Apr 24, 2004 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POSSESSION OF MARIJUANA LESS THAN 20 GRAMS |
| Offense date: | Apr 24, 2004 |
| Bond amount: | $1,000 |
| Statute: | 316.193 - DRIVING UNDER THE INFLUENCE (REFUSED) |
| Offense date: | Apr 24, 2004 |
| Bond amount: | $1,000 |
| Statute: | 322.34 - DRIVING WHILE LICENSE SUSPENDED OR REVOKED |
| Offense date: | Apr 24, 2004 |
| Bond amount: | $1,000 |
