| Date of birth: | Oct 10, 1959 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 00003217 |
| Booking number: | 2000003736 |
| Booking date: | Apr 22, 2000 |
| Release date: | Apr 23, 2000 |
| Booking location: | Okaloosa County, FL |
| Statute: | 409.325.1B - WELFARE FRAUD |
| Offense date: | Apr 22, 2000 |
| Case number: | 97-01640CFA |
| Bond amount: | $1,000 |