| Date of birth: | Sep 21, 1978 |
| Residency: | 825 SOUTHERN CT, CRESTVIEW, FL 32539 |
| Arrest number: | OCSO15ARR000519 |
| Booking location: | Okaloosa County, FL |
| Description: | 414.39.1a (Third Degree Felony) FRAUD-IMPERSON FAIL TO DISCLOSE FACT FOR PUB AID OVER 200DOLS |