| Date of birth: | Jun 10, 1950 |
| Hair: | Gray |
| Eyes: | Hazel |
| Spn: | 214171 |
| Booking location: | Leon County, FL |
| Statute: | 440.105 4A3 |
| Release date: | Sep 22, 2010 |
| Offense date: | Jun 1, 2010 |
| Clerk case: | 2010CF3121A1 |
| Charge literal: | WORKERS' COMPENSATION FRAUD |
| Booking date: | Sep 22, 2010 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | 100205484 |