| Date of birth: | Apr 2, 1960 |
| Hair: | Blond/strawberry |
| Eyes: | Hazel |
| Inmate number: | 00042840 |
| Booking number: | 2010004637 |
| Booking date: | Aug 10, 2010 |
| Release date: | Aug 11, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 440.105-4b - FRAUD/FALSE STATEMENT TO OBT WORKERS COMPENSATION |
| Offense date: | Aug 10, 2010 |
| Case number: | 10779 |
| Bond amount: | $2,000 |
| Arrest date: | Aug 10, 2010 |