| Date of birth: | Apr 21, 1967 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00043675 |
| Booking date: | Dec 27, 2010 |
| Release date: | Jan 11, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 948.06 - VOP CC FRAUD X 4; GT; PT |
| Offense date: | Dec 27, 2010 |
| Case number: | 09CF751 |