| Date of birth: | Apr 30, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 11013395 |
| Active: | N |
| Booking number: | B14024331 |
| Booking date: | Aug 11, 2014 |
| Release date: | Aug 11, 2014 |
| Booking location: | Walton County, FL |
| Violation level: | F |
| Violation description: | FRAUD-FALSE STATEMENT UNLAWFULLY FILE FALSE DOCUMENT |
| Violation code: | 817.535(2A) |
| Required cash amount: | $0 |
| Obts number: | 6601046406 |
| Clear type: | CASH/SURETY |
| Charge number: | 1 |
| Bond number: | ASI5K-182700 |
| Bond amount: | $0 |
| Arrest location: | 5933 CO HWY 183S |
| Arrest date: | Aug 11, 2014 |
| Agency case number: | 14-003606 |
