| Date of birth: | Dec 7, 1965 |
| Hair: | Brown |
| Eyes: | Green |
| Responsible person: | TOT - NPI Ocala By IRCSO Transport |
| Releasing officer s name: | A293 - Fish, L. |
| Release comments: | TOT - NPI Ocala By IRCSO Transport |
| Reason for being released: | Transfer to Other Agency |
| Possibility phone calls: | Yes |
| Employment: | Unemployed |
| Commissary number: | Yes |
| Case no: | 210946 |
| Arresting agency: | Indian River County Sheriff's Office |
| Arrest date: | Dec 22, 2010 |
| Arrest location: | 4055 41st Ave Vero Beach |
| Booking number: | 2010-00006144 |
| Booking date: | Dec 22, 2010 |
| Release date: | Jan 13, 2011 |
| Booking location: | Indian River County, FL |
| Reason: | Felony Withhold Info From Practioner |
| Docket: | 2010CF01148 |
| Bond remarks: | 2010CF01148 |
