| Date of birth: | Apr 1, 1952 |
| Hair: | Black |
| Teeth: | Normal |
| Photo number: | 11S07FZ0 |
| Inmate number: | 1801028744 |
| Employment: | Retired |
| Build: | Large Frame |
| Birth place: | VIDALIA |
| Beard: | No Beard |
| Arresting agency: | Flagler County Sheriff's Office |
| Booking number: | 2009-00003115 |
| Booking date: | Dec 28, 2009 |
| Release reason: | ROR per Judge in FA |
| Booking location: | Flagler County, FL |
| Warrant: | 09-1182 CF |
| Statute: | 817.234 |
| Desc: | Insurance Fraud |
| Bond amount: | $0 |
| Statute: | 817.234 |
| Desc: | Insurance Fraud |
| Bond amount: | $0 |