| Date of birth: | Nov 12, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00005746 |
| Booking date: | Sep 23, 2010 |
| Release date: | Sep 23, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1b - FTA/WORTHLESS CHECK |
| Offense date: | Sep 23, 2010 |
| Case number: | 2010MM010391C |
| Bond amount: | $350 |
| Arrest date: | Sep 23, 2010 |