| Date of birth: | Dec 13, 1963 |
| Hair: | Blo |
| Eyes: | Green |
| Inmate status: | N |
| Inmate number: | 09006193 |
| Booking number: | B09007190 |
| Booking date: | Oct 9, 2009 |
| Booking age: | 1945 |
| Release date: | Oct 9, 2009 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | NOTARY FALSELY CERTIFY ANY INSTRUMENT |
| Violation code: | 117.105 |
| Obts: | 6601033293 |
| Charge number: | 1 |
| Arrest location: | GOATFEATHERS REST. |
| Arrest date: | Oct 9, 2009 |
| Agency case: | 09000215 |