| Date of birth: | Aug 22, 1955 |
| Hair: | Blond |
| Eyes: | Brown |
| Inmate number: | 11011452 |
| Active: | N |
| Booking number: | B13020775 |
| Booking date: | Aug 16, 2013 |
| Release date: | Aug 16, 2013 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | FRAUD EMP NOT GET WORK COMP INS 20K LESS 100K DOLS |
| Violation code: | 440.105(4A3) |
| Required cash amount: | $0 |
| Obts number: | 6601043360 |
| Court case: | DIF 13-864 |
| Clear type: | ROR |
| Charge number: | 1 |
| Bond type: | ROR |
| Bond amount: | $0 |
| Arrest location: | WCSO |
| Arrest date: | Aug 16, 2013 |
| Agency case number: | 13ARR003731 |
| Violation level: | F |
| Violation description: | FRAUD VIOL WORK COMP STOP WORK ORDER LESS THAN 20K |
| Violation code: | 440.105(4B8) |
| Required cash amount: | $0 |
| Obts number: | 6601043360 |
| Court case: | DIF 13-864 |
| Clear type: | ROR |
| Charge number: | 2 |
| Bond type: | ROR |
| Bond amount: | $0 |
| Arrest location: | WCSO |
| Arrest date: | Aug 16, 2013 |
| Agency case number: | 13ARR003731 |
