| Date of birth: | Nov 24, 1963 |
| Hair: | White |
| Eyes: | Blue |
| Inmate status: | In Custody |
| Supervision type: | PROBATION MISDEMEANOR |
| Supervision begin date: | Jul 20, 2016 |
| Scheduled termination date: | Jul 19, 2017 |
| DC number: | V50477 |
| Current location: | DAYTONA BEACH |
| Booking number: | 966606 |
| Booking date: | Jan 26, 2016 |
| Booking location: | Volusia County, FL |
| Booking location: | Volusia County, FL |
| Offense date: | Jan 26, 2016 |
| General offense code: | WORKER'S COMPENSATION FRAUD |
| Case number: | 2016 300206 CFDB |
| Bond amount due 1: | $1,500.00 * |
| Arrest type: | AWT |
| Agency report number: | 160002062 |