| Date of birth: | Mar 8, 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00032274 |
| Booking number: | 2007004256 |
| Booking date: | May 30, 2007 |
| Release date: | May 31, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - WORKER'S COMPENSATION FRAUD |
| Offense date: | May 30, 2007 |
| Bond amount: | $3,500 |