| Date of birth: | Sep 30, 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| Occupation: | [unknown] |
| Make calls: | No |
| Language: | English |
| Is released: | No (Currently |
| Commissary number: | 114789 |
| Case number: | 2015-00011887 |
| Bond type: | Cash/Surety |
| Bond number: | 2015-00000354 |
| Bond amount: | $10,000 |
| Type: | SMT #1 Tattoo |
| Location: | Arm Left Tattoo |
| Description: | Dragon |
| Arresting agency: | Indian River County Sheriff's Office |
| Arrest date: | Jan 21, 2015 |
| Arrest location: | 3725 5th St. Vero Beach |
| Booking number: | 2015-00000315 |
| Booking date: | Jan 21, 2015 |
| Booking location: | Indian River County, FL |
| Statute: | Felony Obtain or Attempt to Obtain Controlled Substance by Fraud |
| Remarks: | Saint Lucie Co. Warrant #2012CF846 |
