| Date of birth: | Nov 9, 1929 |
| Hair: | Grey |
| Eyes: | Brown |
| Marital status: | Other |
| Juvenile: | No |
| Education: | 12 |
| Dl number: | RT771682 |
| Citizen: | Y |
| Birth place: | LORAIN/OHIO |
| Booking location: | Charlotte County, FL |
| Statute description: | RETAIL THEFT |
| Statute: | 812.014 3a |
| Offense date: | May 10, 2005 |
| Oca number: | 05010716 |
| Obts number: | 0801022052 |
| Level: | S |
| Depositer name: | FORD, ETHEL M |
| Charge: | M |
| Bond amount: | $500 |
| Arresting officer: | HOPKINS, KEVIN |
| Arrest location: | 10 CRESTVIEW DRIVE, ENGLEWOOD, FL |
| Agency: | FL0080000 |
