| Date of birth: | Apr 30, 1955 |
| Hair: | Brown |
| Eyes: | Blue |
| Spn: | 175346 |
| Booking location: | Leon County, FL |
| Statute: | 440.105 4A3 |
| Release date: | Jun 8, 2005 |
| Offense date: | Jan 3, 2005 |
| Clerk case: | 2005CF2014A1 |
| Charge literal: | WORKERS COMPENSATION FRAUD |
| Booking date: | Jun 8, 2005 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | 05-15576 |