| Date of birth: | May 31, 1976 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00047621 |
| Booking number: | 2012003545 |
| Booking date: | Jun 24, 2012 |
| Release date: | Jun 25, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 414.39-1a - FRAUD |
| Offense date: | Jun 24, 2012 |
| Case number: | 12CF1164-C |
| Arrest date: | Jun 24, 2012 |