| Date of birth: | Jul 24, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1431154 |
| Complexion: | MED |
| Birth place: | MM |
| Arrest date: | Nov 16, 2010 |
| Booking type: | FELONY |
| Statute: | 440.105(4)/F |
| Offense description: | WORKER'S COMPENSATION FRAUD |
| Obts: | 5206083102 |
| Court case: | CRC1024747CFANO |
| Charge number: | 1 |
| Bond assessed: | $5,000 |
| Bond amount: | $0 |
| Agency report number: | OT10010110 |
