| Date of birth: | May 19, 1952 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00045996 |
| Booking number: | 2011006213 |
| Booking date: | Nov 5, 2011 |
| Release date: | Nov 5, 2011 |
| Booking location: | Okaloosa County, FL |
| Statute: | 443.071-1 - UNEMPLOYMENT FRAUD |
| Offense date: | Nov 5, 2011 |
| Case number: | 2011CF001761S |
| Bond amount: | $2,000 |
| Arrest date: | Nov 5, 2011 |
