| Date of birth: | May 26, 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 00039744 |
| Booking number: | 2009004242 |
| Booking date: | Jul 13, 2009 |
| Release date: | Aug 7, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - OUT-OF-COUNTY WARRANT/DUVAL/FRAUD |
| Offense date: | Jul 13, 2009 |
| Case number: | Duval #079421CFA |
| Bond amount: | $753 |