| Date of birth: | Dec 12, 1940 |
| Hair: | Blonde |
| Eyes: | Blue |
| Residency: | Resident |
| Releasing officer: | LAUVER, YVONNE |
| Marital status: | Married |
| Juvenile: | No |
| Jurisdiction: | FL0080000 |
| Jca number: | 43783 |
| Employment: | 01 UNEMPLOYED |
| Dl number: | P652058409520 |
| Date confined: | Jan 12, 2001 |
| Citizen: | N |
| Apt unit: | SLIP 13 |
| Booking officer: | LAUVER, YVONNE |
| Release reason: | CRIMINAL REGISTRATIO |
| Release date: | Jan 12, 2001 |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRATION |
| Statute: | CRM-1 |
| Offense date: | Jan 12, 2001 |
| Obts number: | 9035803 |
| Depositer name: | , |
| Bond amount: | $0 |
| Arresting officer: | SHERKUS, TRISTA |
| Arrest location: | CCSO JAIL |
| Agency: | FL0080000 |
