| Date of birth: | Nov 29, 1964 |
| Inmate status: | Not In Custody |
| Booking number: | 807298 |
| Booking date: | Oct 23, 2009 |
| Booking location: | Volusia County, FL |
| Offense date: | Oct 23, 2009 |
| General offense code: | PUB ASSIST FRAUD FILES CLAIM $200 OR MORE |
| Case number: | 2009 084668 XXAES |
| Arrest type: | HLD |
| Agency report number: | 09100923 |