| Date of birth: | May 16, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1369435 |
| Complexion: | LGT |
| Birth place: | OH |
| Arrest date: | Aug 29, 2009 |
| Arresting agency: | CLEARWATER POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 320.02(4)/MI |
| Offense description: | FAIL TO NOTIFY DMV OF ADD CHG W\IN 20D * NCTC |
| Obts: | 5206055630 |
| Court case: | CTC095937FPDANC |
| Charge number: | 1 |
| Bond assessed: | $100 |
| Bond amount: | $0 |
| Agency report number: | CW09088667 |
| Statute: | 320.061/M |
| Offense description: | ALTERED LICENSE TAG * NCTC 9/23/09 AT 10AM |
| Obts: | 5206055630 |
| Court case: | CTC095936FPDANC |
| Charge number: | 2 |
| Bond assessed: | $100 |
| Bond amount: | $0 |
| Agency report number: | CW09088667 |
| Statute: | 322.34(2)(A)/M |
| Offense description: | DWLSR * NCTC 9/23/09 AT 10AM |
| Obts: | 5206055630 |
| Court case: | CTC095934FPDANC |
| Charge number: | 3 |
| Bond assessed: | $100 |
| Bond amount: | $0 |
| Agency report number: | CW09088667 |