| Date of birth: | Jun 7, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| Number: | 00016624 |
| Booking date: | Aug 17, 2009 |
| Release date: | Aug 18, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 817.61 - CC FRAUD |
| Offense date: | Aug 17, 2009 |
| Bond amount: | $1,500 |
| Arrest date: | Aug 17, 2009 |
| Statute: | 812.014-2c1 - GT |
| Offense date: | Aug 17, 2009 |
| Bond amount: | $1,500 |
| Arrest date: | Aug 17, 2009 |