| Date of birth: | Nov 10, 1981 |
| Residency: | 2251 ORTEGA STREET, NAVARRE, FL 32566 |
| Related offense: | OCSO14OFF012292 |
| Arrest number: | OCSO15ARR010335 |
| Booking location: | Okaloosa County, FL |
| Description: | 893.13.7a9 (Third Degree Felony) FRAUD OBTAIN CONTROLLED SUBSTANCE BY FRAUD |