| Date of birth: | Feb 21, 1958 |
| Hair: | Gray |
| Eyes: | Brown |
| Docket no: | 1351665 |
| Complexion: | MED |
| Birth place: | MI |
| Arrest date: | Apr 27, 2009 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 316.1939/M |
| Offense description: | REFUSAL TO SUBMIT TO TESTING NCTC 5/26 830AM |
| Obts: | 5207068082 |
| Court case: | CTC094209XDVANC |
| Charge number: | 1 |
| Bond assessed: | $150 |
| Bond amount: | $0 |
| Agency report number: | SO09093320 |