| Date of birth: | Jan 31, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 11015745 |
| Active: | N |
| Booking number: | B15028594 |
| Booking date: | Aug 23, 2015 |
| Release date: | Aug 23, 2015 |
| Booking location: | Walton County, FL |
| Violation level: | M |
| Violation description: | FORGERY OF MAKE ALTER PRESCRIPTION SUBSQ OFF |
| Violation code: | 831.30(1) |
| Required cash amount: | $0 |
| Obts number: | 6601049707 |
| Clear type: | CASH BOND |
| Charge number: | 1 |
| Bond amount: | $0 |
| Arrest location: | 60 S HOLIDAY RD |
| Arrest date: | Aug 23, 2015 |
| Agency case number: | 15OFF004918 |
| Violation level: | M |
| Violation description: | PASS COUNTERFEITED PRESCRIPTION AS TRUE 1ST OFF |
| Violation code: | 831.30(3) |
| Required cash amount: | $0 |
| Obts number: | 6601049707 |
| Clear type: | CASH BOND |
| Charge number: | 2 |
| Bond amount: | $0 |
| Arrest location: | 60 S HOLIDAY RD |
| Arrest date: | Aug 23, 2015 |
| Agency case number: | 15OFF004918 |
