| Date of birth: | Apr 27, 1953 |
| Hair: | Blond |
| Eyes: | Brown |
| Inmate number: | 1801046691 |
| Incarcerated: | False |
| Arresting agency: | Flagler County Sheriff's Office |
| Booking number: | 2016-00001309 |
| Booking date: | Jun 28, 2016 |
| Booking location: | Flagler County, FL |
| Warrant: | 2016 CF 000417 |
| Statute: | 414.39.1A |
| Description: | False Statement To Obtain Public Aid |
| Bond amount: | $2,500 |