| Date of birth: | Feb 26, 1960 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 00040830 |
| Booking number: | 2009007113 |
| Booking date: | Nov 17, 2009 |
| Release date: | Nov 17, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 901.04 - OUT-OF-COUNTY WARRANT/ESCAMBIA/FRAUD |
| Offense date: | Nov 17, 2009 |
| Bond amount: | $15,000 |