| Date of birth: | Jan 8, 1953 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| Responsible person: | PCB#146154 |
| Releasing officer: | A484 - Tankersley, P. |
| Release status: | Yes |
| Reason for being released: | Posted Cash Bond |
| Possibility phone calls: | Yes |
| Occupations: | Broker |
| Language: | English |
| Commissary number: | 363471 |
| Comments: | PCB#146154 |
| Case no: | 2013-00000164 |
| Arresting agency: | Indian River Shores Police Department |
| Arrest date: | Jan 18, 2013 |
| Arrest location: | 7500 SR A1A IR Shores |
| Booking number: | 2013-00000279 |
| Booking date: | Jan 18, 2013 |
| Release date: | Jan 19, 2013 |
| Booking location: | Indian River County, FL |
| Reason: | Misdemeanor Refuse To Submit to Testing |
| Bond type: | Cash/Surety |
| Bond number: | 2013-00000332 |
| Bond amount: | $500 |