| Date of birth: | Jan 10, 1955 |
| Report: | 2004-26498/1 |
| Arrest date: | Dec 11, 2004 |
| Arrest location: | 4355 POCAHONTAS DR |
| Booking location: | Hernando County, FL |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Description: | 316.193 - DRIVING UNDER THE INFLUENCE |
| Description: | 320.07 - NO/EXPIRED TAG |