| Date of birth: | Jul 30, 1991 |
| Residency: | 722 SOUTHERN COMFORT COURT, CRESTVIEW, FL 32536 |
| Related offense: | OCSO15OFF011329 |
| Arrest number: | OCSO15ARR009147 |
| Booking location: | Okaloosa County, FL |
| Description: | 837.06. (Second Degree Misdemeanor) FRAUD-FALSE STATEMENT OFFICIAL STATEMENT |