| Date of birth: | Jun 1, 1977 |
| Residency: | 816 TANAGER RD, FORT WALTON BEACH, FL 32547 |
| Arrest number: | OCSO15ARR012091 |
| Booking location: | Okaloosa County, FL |
| Description: | 414.39.1a (First Degree Misdemeanor) FRAUD MISREP FAIL DISCLOSE PUBLIC AID UND 200 DOLS |