| Date of birth: | Nov 7, 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| Spn: | 207057 |
| Booking location: | Leon County, FL |
| Statute: | 817.234 11A |
| Release date: | Aug 24, 2009 |
| Offense date: | Nov 7, 2008 |
| Clerk case: | 2009CF2804A1 |
| Charge literal: | INSURANCE FRAUD |
| Booking date: | Aug 24, 2009 |
| Booking agency: | LEON COUNTY SHERIFF TALLAHASSEE |
| Agency report: | 090194213 |