| Date of birth: | May 14, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00027688 |
| Booking date: | Apr 23, 2006 |
| Release date: | Apr 23, 2006 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - POCS W/O SCRIPT |
| Offense date: | Apr 23, 2006 |
| Bond amount: | $2,500 |
| Statute: | 893.13 - POM |
| Offense date: | Apr 23, 2006 |
| Bond amount: | $2,500 |