| Date of birth: | Jul 19, 1954 |
| Hair: | Black |
| Eyes: | Blue |
| Inmate number: | 00040562 |
| Booking number: | 2009006359 |
| Booking date: | Oct 12, 2009 |
| Release date: | Oct 13, 2009 |
| Booking location: | Okaloosa County, FL |
| Statute: | 831.01 - FORGERY |
| Offense date: | Oct 12, 2009 |
| Bond amount: | $2,000 |
| Arrest date: | Oct 12, 2009 |
| Statute: | 831.02 - UTTERING FORGED INSTRUMENT |
| Offense date: | Oct 12, 2009 |
| Bond amount: | $1,000 |
| Arrest date: | Oct 12, 2009 |
| Statute: | 812.014-2c2 - GT $5000 |
| Offense date: | Oct 12, 2009 |
| Bond amount: | $2,000 |
| Arrest date: | Oct 12, 2009 |
