| Date of birth: | Jan 17, 1965 |
| Hair: | Brown |
| Eyes: | Hazel |
| Number: | 00038910 |
| Booking date: | Jan 5, 2010 |
| Release date: | Mar 8, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 837.055 - CRT MIN/FRAUD IMPERSONATION OF LEO (SENTENCED 90DAYS OCJ) |
| Offense date: | Jan 5, 2010 |
| Case number: | 09CF742S |
| Arrest date: | Jan 5, 2010 |