| Date of birth: | May 12, 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1425701 |
| Complexion: | MED |
| Birth place: | PA |
| Arrest date: | Oct 6, 2010 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking type: | FELONY |
| Statute: | 440.105(4)/F |
| Offense description: | WORKER'S COMPENSATION FRAUD |
| Obts: | 5206080696 |
| Court case: | CRC1021901CFANO |
| Charge number: | 1 |
| Bond assessed: | $5,000 |
| Bond amount: | $0 |
| Agency report number: | SO10285816 |