| Date of birth: | Mar 7, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00048386 |
| Booking number: | 2012005826 |
| Booking date: | Sep 30, 2012 |
| Release date: | Oct 1, 2012 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.02 - RAWOV |
| Offense date: | Sep 30, 2012 |
| Arrest date: | Sep 30, 2012 |
| Statute: | 901.36-1 - FALSE ID GIVEN TO LEO |
| Offense date: | Sep 30, 2012 |
| Arrest date: | Sep 30, 2012 |
