| Date of birth: | Apr 1, 1966 |
| Hair: | Blond |
| Eyes: | Brown |
| Inmate number: | 1801043645 |
| Incarcerated: | False |
| City of birth: | ST. PETERSBURG |
| Build: | Large |
| Arresting agency: | Flagler County Sheriff's Office |
| Booking number: | 2015-00000893 |
| Booking date: | Apr 23, 2015 |
| Booking location: | Flagler County, FL |
| Warrant: | 2015 CF 000199 |
| Statute: | 440.105.4B2 |
| Description: | Workers Compensation Fraud |
| Bond amount: | $1,000 |