| Date of birth: | Nov 25, 1951 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 11014119 |
| Active: | N |
| Booking number: | B15025903 |
| Booking date: | Feb 2, 2015 |
| Release date: | Feb 2, 2015 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | FRAUD EMP NOT GET WORK COMP INS UNDER 20K DOLS |
| Violation code: | 440.105(4A3) |
| Required cash amount: | $0 |
| Obts number: | 6601047660 |
| Court case: | DIF 14-2003 |
| Clear type: | ROR |
| Charge number: | 1 |
| Bond type: | ROR |
| Bond amount: | $0 |
| Arrest location: | JAIL |
| Arrest date: | Feb 2, 2015 |
| Agency case number: | 15ARR000336 |
