| Date of birth: | Sep 26, 1960 |
| Residency: | GENERAL DELIVERY, FORT WALTON BEACH, FL |
| Arrest number: | OCSO17ARR000148 |
| Booking location: | Okaloosa County, FL |
| Description: | 843.15.1b (First Degree Misdemeanor) BAIL-SECURED BOND FAILURE TO APPEAR FOR MISDEMEANOR OFFENSE |