| Date of birth: | Aug 5, 1956 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 00036819 |
| Booking number: | 2008005914 |
| Booking date: | Jul 20, 2008 |
| Release date: | Jul 21, 2008 |
| Booking location: | Okaloosa County, FL |
| Statute: | 893.13 - OBTAIN CONTROLLED SUB BY FRAUD |
| Offense date: | Jul 20, 2008 |
| Case number: | 08CF1585-C |
| Bond amount: | $1,000 |