| Date of birth: | Dec 30, 1952 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| Obts: | 5003292796 |
| Jacket number: | 0031190 |
| Holds for other agencies: | No |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Jan 18, 2011 |
| Scheduled termination date: | Jan 17, 2013 |
| Inmate status: | ACTIVE |
| DC number: | W41461 |
| Arresting agency: | 01 - PBSO |
| Booking date: | Aug 18, 2010 |
| Booking officer: | TOMAS |
| Release date: | Aug 18, 2010 |
| Booking location: | Palm Beach County, FL |
| Booking location: | Florida |
| Description: | FRAUD-OBTAIN CONTROLLED SUBSTANCE BY |
| Charge number: | 893.13-3735 |
| Booking number: | 2010040745 |
| Bond amount: | $3,000 |