| Date of birth: | Apr 24, 1959 |
| Hair: | Black |
| Eyes: | Brown |
| Number: | 00042440 |
| Booking date: | Jun 17, 2010 |
| Release date: | Jun 17, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 322.03-1 - NVDL |
| Offense date: | Jun 17, 2010 |
| Bond amount: | $250 |
| Arrest date: | Jun 17, 2010 |