| Date of birth: | Oct 19, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate status: | N |
| Inmate number: | 03004001 |
| Booking number: | B09007079 |
| Booking date: | Sep 29, 2009 |
| Booking age: | 1947 |
| Release date: | Dec 20, 2009 |
| Booking location: | Walton County, FL |
| Violation level: | N |
| Violation description: | PROB VIOLATION-FVOP |
| Violation code: | 948.06 |
| Obts: | 6601033207 |
| Charge number: | 1 |
| Arrest location: | WALTON CO. DOC |
| Arrest date: | Sep 29, 2009 |
| Agency case: | 03CF000482 |