| Date of birth: | Nov 28, 1948 |
| Arresting agency: | KWPD - KWPD |
| Arrest number: | MCSO01ARR011491 |
| Arrest date: | Dec 12, 2001 |
| Booking location: | Monroe County, FL |
| Statute: | 1 Felony Count(s) of 440.105.4b |
| Description: | FRAUD-FALSE STATEMENT - TO OBTAIN OR DENY BENEFIT WORKERS COMPENSATION |