| Date of birth: | May 1, 1928 |
| Hair: | Gray |
| Eyes: | Blue |
| Docket no: | 1349294 |
| Complexion: | RUD |
| Birth place: | IL |
| Arrest date: | Apr 10, 2009 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | PAPERWORK ONLY |
| Statute: | 320.061/M |
| Offense description: | FTA TAG/UNLAWFULL ALTERATION |
| Obts: | 5208006727 |
| Court case: | CTC093580SPOASP |
| Charge number: | 1 |
| Bond assessed: | $213 |
| Bond amount: | $0 |