| Date of birth: | Jan 16, 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Non-Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Employer school: | DISABLED |
| Education: | 14 YRS |
| Dl number: | W300061565160 |
| Citizen: | Y |
| Birth place: | TOLEDO, OHIO |
| Booking location: | Charlotte County, FL |
| Warrant: | 023632MMA |
| Statute description: | FRAUDULENT ATTEMPT TO OBTAIN PERSCRIPTION(MARTIN CTY 023632MMA) |
| Statute: | 893.13 7a9 |
| Offense date: | Dec 13, 2002 |
| Oca number: | 02032982 |
| Obts number: | 0801005364 |
| Level: | T |
| Depositer name: | BLANDING, BEVERLY A |
| Charge: | F |
| Bond amount: | $500 |
| Bond agency: | BLANDING BAIL BONDS |
| Arresting officer: | MCMANUS, RICHARD |
| Arrest location: | OILWELL RD CHARLOTTE COUNTY INSTITUTE |
| Agency: | FL0080000 |
