| Date of birth: | Dec 15, 1957 |
| Hair: | Black |
| Eyes: | Hazel |
| Inmate number: | 00039724 |
| Booking number: | 2009004284 |
| Booking date: | Jul 15, 2009 |
| Release date: | Nov 5, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 812.014-3a - PETIT THEFT |
| Offense date: | Jul 15, 2009 |
| Case number: | 09MM2828C |
| Arrest date: | Jul 15, 2009 |
| Statute: | 812.014-3a - PT |
| Offense date: | Jul 15, 2009 |
| Arrest date: | Jul 15, 2009 |
| Statute: | 901.36-1 - PROVIDE FALSE NAME |
| Offense date: | Jul 15, 2009 |
| Case number: | 09MM2828C |
| Bond amount: | $1,000 |
| Arrest date: | Jul 15, 2009 |
