| Date of birth: | Jan 14, 1958 |
| Hair: | Blonde |
| Eyes: | Hazel |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12 |
| Dl number: | C120172585140 |
| Citizen: | Y |
| Birth place: | ANDERSON IN |
| Booking location: | Charlotte County, FL |
| Statute description: | ATTEMPTING TO OBTAIN PRESCRIPTION BY FRAUD |
| Statute: | 893.13 7a9 |
| Offense date: | Apr 10, 2004 |
| Oca number: | 04009970 |
| Obts number: | 0801014419 |
| Level: | T |
| Depositer name: | MCGINNIS, WALTER |
| Court date: | May 10, 2004 |
| Charge: | F |
| Bond amount: | $2,500 |
| Bond agency: | MCGINNIS BAIL BONDS |
| Arresting officer: | WATERHOUSE, JONATHAN |
| Arrest location: | 22449 EDGEWATER DR |
| Agency: | FL0080000 |
