| Date of birth: | Nov 17, 1952 |
| Occupation: | LANDSCAPE |
| Employer: | RETIRED |
| Birth place: | SC |
| Arresting agency: | MCS |
| Arrest date: | Sep 18, 2013 |
| Arrest location: | 4427 SW 83RD STREET PALMCITY |
| Arrest officer: | PORCELLI |
| Booking number: | 4302065089 |
| Booking date: | Sep 18, 2013 |
| Booking location: | Martin County, FL |
| Charge: | FS*893.13(7A8) POSSESS BLANK RX FORM |
| Bond amount: | $10,000 |