| Date of birth: | Mar 31, 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00012496 |
| Booking date: | Jun 27, 2002 |
| Release date: | Jun 27, 2002 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - WELFARE FRAUD |
| Offense date: | Jun 27, 2002 |
| Case number: | 02-001197CFCA |