| Date of birth: | Oct 26, 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00044867 |
| Booking number: | 2011003182 |
| Booking date: | Jun 3, 2011 |
| Release date: | Jun 3, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 817.234-1 - FRAUD MAKE FALSE INSUARNCE CLAIM |
| Offense date: | Jun 3, 2011 |
| Statute: | 831.01 - FORGERY OF ALTER PUBLIC RECORD CERTIFICATE ETC |
| Offense date: | Jun 3, 2011 |