| Date of birth: | Aug 14, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 11010470 |
| Active: | Y |
| Booking number: | B12018582 |
| Booking date: | Nov 20, 2012 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | FRAUD EMP NOT GET WORK COMP INS UNDER 20K DOLS; WORKERS COMP FRAUD |
| Violation code: | 440.105(4A3) |
| Required cash amount: | $0 |
| Obts number: | 6601041457 |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond number: | 5000 |
| Bond amount: | $5,000 |
| Arrest location: | WCSO |
| Arrest date: | Nov 20, 2012 |
| Agency case number: | 12004488 |
