| Date of birth: | Jan 22, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Number: | 00039466 |
| Booking date: | Jun 16, 2009 |
| Release date: | Jun 22, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014-3a - PETIT THEFT (2COUNTS) |
| Offense date: | Jun 15, 2009 |
| Bond amount: | $1,000 |
| Arrest date: | Jun 15, 2009 |
| Statute: | 893.13-7a9 - OBTAINING A PRESCRIPTION BY FRAUD (2 COUNTS) |
| Offense date: | Jun 15, 2009 |
| Bond amount: | $5,000 |
| Arrest date: | Jun 15, 2009 |
| Statute: | 893.135-5 - TRAFFICKING IN HYDROCODONE |
| Offense date: | Jun 15, 2009 |
| Bond amount: | $50,000 |
| Arrest date: | Jun 15, 2009 |
| Statute: | 893.13-6a - POCS W/O PRESCRIPTION |
| Offense date: | Jun 15, 2009 |
| Bond amount: | $2,500 |
| Arrest date: | Jun 15, 2009 |
