| Date of birth: | May 2, 1966 |
| Hair: | Unknown or completely bald |
| Eyes: | Multicolored |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Jul 8, 2016 |
| Scheduled termination date: | Jul 7, 2019 |
| Inmate status: | ACTIVE |
| DC number: | P58072 |
| Current location: | PANAMA CITY |
| Inmate number: | 11015978 |
| Active: | N |
| Residency: | 604 BAYOU DR, SANTA ROSA BEACH, FL |
| Related offense: | OCSO09OFF001420 |
| Booking number: | B15029025 |
| Release date: | Sep 29, 2015 |
| Booking location: | Walton County, FL |
| Booking location: | Okaloosa County, FL |
| Arrest number: | OCSO09ARR006945 |
| Booking location: | Okaloosa County, FL |
| Discharge date: | Jan 21, 2016 |
| Offense date: | Nov 1, 2008 |
| Offense: | FRAUD USE OF PERSONAL ID |
| County: | OKALOOSA |
| Community supervision length: | 0Y 36M 0D |
| Case number: | 1502179 |
| Violation level: | N |
| Violation description: | OUT-OF-COUNTY WARRANT |
| Violation code: | 901.04 |
| Required cash amount: | $0 |
| Obts number: | 6601050027 |
| Clear type: | ROA |
| Charge number: | 1 |
| Bond type: | NO BOND |
| Bond amount: | $0 |
| Arrest location: | 604 BAYOU DR |
| Arrest date: | Sep 28, 2015 |
| Agency case number: | 15003701 |
| Violation level: | N |
| Violation description: | OUT-OF-COUNTY WARRANT |
| Violation code: | 901.04 |
| Required cash amount: | $0 |
| Obts number: | 6601050027 |
| Clear type: | ROA |
| Charge number: | 2 |
| Bond amount: | $0 |
| Arrest location: | 604 BAYOU DR |
| Arrest date: | Sep 28, 2015 |
| Agency case number: | 15003701 |
| Description: | 817.568.2a (Third Degree Felony) FRAUD IMPERSONATION USE/POSSESS ID OF ANOTHER PERSON W/O CONSENT |
