| Date of birth: | Oct 17, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Spn: | 222477 |
| Booking location: | Leon County, FL |
| Statute: | 817.234 11A |
| Release date: | Jan 9, 2012 |
| Offense date: | Jan 28, 2011 |
| Clerk case: | 2012CF68A1 |
| Charge literal: | INSURANCE FRAUD |
| Booking date: | Jan 9, 2012 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Bond amount: | $5,000 |
| Agency report: | 120005285 |