| Date of birth: | Jun 28, 1955 |
| Hair: | Gray |
| Eyes: | Hazel |
| Number: | 00043716 |
| Booking date: | Jan 3, 2011 |
| Release date: | Jan 4, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 831.09 - UTTER FORGED BILLS |
| Offense date: | Jan 3, 2011 |
| Arrest date: | Jan 3, 2011 |
| Statute: | 831.11 - BRING INTO STATE FORGES BANK BILLS |
| Offense date: | Jan 3, 2011 |
| Arrest date: | Jan 3, 2011 |