| Date of birth: | 1948 |
| Arrest officer: | FHP-J. CLARK |
| Booking number: | 150001314 |
| Booking date: | Sep 19, 2015 |
| Booking location: | Suwannee County, FL |
| Description: | NO DRIVERS LIC-2ND OFF |
| Description: | ATTACH TAG NOT ASSIGNED |
| Description: | FAIL TO PROVIDE INSURANCE |