| Date of birth: | May 27, 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Non-Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | INSURANCE AGENT |
| Employer school: | INSURANCE DEPOT OF CHARLOTTE COUNTY |
| Education: | 12TH |
| Dl number: | A425423511870 |
| Citizen: | Y |
| Birth place: | INDIANA |
| Booking location: | Charlotte County, FL |
| Statute description: | FRAUD / AGENT REPRESENT OR AID UNAUTHORIZED INSURER |
| Statute: | 626.902 1a |
| Offense date: | Apr 1, 2007 |
| Obts number: | 0803075734 |
| Level: | T |
| Depositer name: | DECKER, GARY |
| Court date: | Nov 2, 2011 |
| Charge: | F |
| Bond amount: | $2,500 |
| Arresting officer: | DETECTIVE CHRISTIAN MENZEL |
| Arrest location: | 2395 TAMIAMI TRAIL SUITE 4 |
| Agency: | FL0080200 |