| Date of birth: | May 3, 1954 |
| Arresting agency: | GREENWICH PD |
| Booking number: | 2004111206 |
| Booking date: | Nov 12, 2004 |
| Jail name: | Huron County Jail |
| Location: | 255 Shady Ln Dr #A, Norwalk, OH 44857 |
| Statute: | 436.07(A) |
| Description: | LICENSE FORFEITURE SUSPENSION |
| Class: | M1 |
| Bond type: | NO BAIL |
| Bond amount: | $5,000 |