| Date of birth: | Aug 15, 1941 |
| Inmate status: | Not In Custody |
| Booking number: | 843765 |
| Booking date: | Mar 13, 2011 |
| Booking location: | Volusia County, FL |
| Offense date: | Mar 12, 2011 |
| General offense code: | LEAVING SCENE OF CRASH INVOLVING DAMAGE |
| Case number: | 2009 048588 MMAES |
| Arrest type: | FTA |
| Agency report number: | 110004935 |