| Date of birth: | Aug 19, 1938 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | 12 YEARS |
| Dl number: | B200177387990 |
| Citizen: | Y |
| Booking location: | Charlotte County, FL |
| Statute description: | HIT AND RUN / LEAVE SCENE OF CRASH INVOLVE DAMAGE TO PROP |
| Statute: | 316.061 1 |
| Offense date: | Feb 23, 2012 |
| Obts number: | 0803078494 |
| Level: | S |
| Depositer name: | BASCH, DIANE S |
| Court date: | Mar 22, 2012 |
| Charge: | M |
| Bond amount: | $500 |
| Arresting officer: | MPO HECK # 444 |
| Arrest location: | US 41S / VIRGINIA |
| Agency: | FL0080200 |