| Date of birth: | Oct 27, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 125584 |
| Booking location: | Leon County, FL |
| Statute: | 039.205 5 |
| Release date: | Jul 13, 1999 |
| Offense date: | Apr 1, 1999 |
| Clerk case: | 1999CF2669A1 |
| Charge literal: | FALSE REPORT TO DEPT OF CHILDREN & FAMILIES |
| Booking date: | Jul 13, 1999 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | SO9984992 |