| Date of birth: | Sep 28, 1960 |
| Residency: | 218 AJAX DR, FORT WALTON BEACH, FL 32548 |
| Related offense: | OCSO14OFF015055 |
| Arrest number: | OCSO15ARR003220 |
| Booking location: | Okaloosa County, FL |
| Description: | 817.568.2a (Third Degree Felony) FRAUD IMPERSONATION USE/POSSESS ID OF ANOTHER PERSON W/O CONSENT |