| Date of birth: | Feb 4, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 176629 |
| Booking location: | Leon County, FL |
| Statute: | 893.13 7A9 |
| Release date: | Aug 11, 2005 |
| Offense date: | Jun 30, 2005 |
| Clerk case: | 2005CF2878A1 |
| Charge literal: | OBTAINING OR ATTEMPTING TO OBTAIN A CONTROLLED SUBSTANCE BY FORGERY, MISREPRESENTATION, FRAUD OR SUBTERFUGE |
| Booking date: | Aug 11, 2005 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | 05161275 |