| Date of birth: | Sep 19, 1962 |
| Hair: | Gray |
| Eyes: | Blue |
| Spn: | 170787 |
| Booking location: | Leon County, FL |
| Statute: | 414.39 1A |
| Release date: | Nov 29, 2004 |
| Offense date: | May 30, 2003 |
| Clerk case: | 2004CF3602A1 |
| Charge literal: | VOP/PUBLIC ASSISTANCE FRAUD |
| Booking date: | Nov 29, 2004 |
| Booking agency: | TALLAHASSEE POLICE DEPARTMENT |
| Agency report: | 04-39072 |