| Date of birth: | Jan 16, 1982 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | BRADENTON, FL 34203 |
| Pin: | 0001089758 |
| Age at arrest: | 30 |
| Arresting agency: | CSO |
| Booking number: | 201200009052 |
| Booking date: | Oct 8, 2012 |
| Booking location: | Collier County, FL |
| Offense: | VOSP/OBT. CONT. SUBSTANCE BY FRAUD X3 |
| Court date: | Oct 23, 2012 |
| Count: | 001 |
| Charged: | 10/08/2012 |
| Case number: | 10-258CFA |