| Date of birth: | Feb 20, 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00035553 |
| Residency: | 336 OKALOOSA RD, FORT WALTON BEACH, FL 32548 |
| Related offense: | OCSO16OFF006304 |
| Booking date: | Mar 31, 2008 |
| Release date: | Mar 31, 2008 |
| Booking location: | Okaloosa County, FL |
| Arrest number: | OCSO16ARR006768 |
| Booking location: | Okaloosa County, FL |
| Statute: | 784.03 - BATTERY (DOMV) |
| Offense date: | Mar 31, 2008 |
| Description: | 489.127.1a (First Degree Misdemeanor) FRAUD-IMPERSON FALSELY IDENTIFY SELF AS CONTRACTOR |
