| Date of birth: | 1919 |
| Obts number: | 5002218402 |
| Jacket number: | 0233368 |
| Holds for other agencies: | No |
| Facility: | TIME SERVED |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011040263 |
| Booking date: | Sep 2, 2011 |
| Booking officer: | C MENOTTE |
| Release date: | Sep 5, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | BOOKED - COMMIT |
| Charge number: | 0003 |
| Bond amount: | $0 |