| Date of birth: | Jul 18, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Spn: | 8918 |
| Booking location: | Leon County, FL |
| Statute: | 893.13 7A9 |
| Release date: | Oct 11, 2002 |
| Offense date: | Oct 4, 2002 |
| Clerk case: | 2002CF3790A1 |
| Charge literal: | FRAUD OBTAIN CONTROLLED SUBSTANCE BY |
| Booking date: | Oct 11, 2002 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | SO02168664 |