| Date of birth: | May 30, 1951 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate status: | N |
| Inmate number: | 10007004 |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | May 18, 2010 |
| Scheduled termination date: | May 17, 2013 |
| DC number: | P43213 |
| Booking number: | B10009277 |
| Booking date: | Mar 29, 2010 |
| Booking age: | 1958 |
| Release date: | Mar 29, 2010 |
| Booking location: | Walton County, FL |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | FRAUDOBTAIN CONTROLLED SUBSTANCE BY |
| Violation code: | 893.13(7a9) |
| Obts: | 6601034602 |
| Charge number: | 1 |
| Arrest location: | FREEPORT |
| Arrest date: | Mar 29, 2010 |
| Agency case: | 09004668 |
| Violation level: | F |
| Violation description: | FORGERYOBTAIN CONTROLLED SUBSTANCE BY |
| Violation code: | 893.13(7a9) |
| Obts: | 6601034602 |
| Charge number: | 2 |
| Arrest location: | FREEPORT |
| Arrest date: | Mar 29, 2010 |
| Agency case: | 09004668 |