| Date of birth: | Aug 7, 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00033237 |
| Booking number: | 2007006605 |
| Booking date: | Aug 14, 2007 |
| Release date: | Aug 15, 2007 |
| Booking location: | Okaloosa County, FL |
| Statute: | DEL.9999.999 - OBTAIN LEGEND DRUG BY FRAUD(29 CTS) |
| Offense date: | Aug 14, 2007 |
| Bond amount: | $2,500 |
| Statute: | 817.234 - FILE FRAUDULENT INS CLAIM |
| Offense date: | Aug 14, 2007 |
| Bond amount: | $2,500 |