| Date of birth: | Sep 17, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Registered felon date: | Jul 2, 2010 |
| Hold: | no |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Jul 2, 2010 |
| Scheduled termination date: | Jul 1, 2013 |
| Inmate status: | ACTIVE |
| DC number: | H35660 |
| Booking number: | 2010-016816 |
| Booking date: | Jul 17, 2010 |
| Release date: | Aug 22, 2010 |
| Booking location: | Polk County, FL |
| Booking location: | Polk County, FL |
| Statute: | 831.01 FORGERY OF-ALTER PUBLIC RECORD CERTIFICATE ETC |
| Charge on arrest docket: | FORGERY |
| Charge number: | 1 |