| Date of birth: | 1979 |
| Inmate status: | Released |
| Inmate number: | SRSO99MNI013341 |
| Booking number: | SRSO16JBN008102 |
| Booking date: | Nov 18, 2016 |
| Release date: | Nov 18, 2016 |
| Booking location: | Santa Rosa County, FL |
| Statute: | 440.105.4b |
| Level: | F |
| Description: | MISREP OMIT INF RE W/C CLAIM LESS 20K DOLS |
| Degree: | T |
| Court case: | 161916 (DEPARTMENT OF FINANCIAL SERVICES) |
| Charge: | FRAUD-FALSE STATEMENT |
| Bond amount: | $0 |