| Date of birth: | Sep 3, 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Juvenile: | No |
| Employment: | 01 UNEMPLOYED |
| Citizen: | Y |
| Birth place: | RHODE ISLAND |
| Booking location: | Charlotte County, FL |
| Warrant: | CF284F |
| Statute description: | FRAUD-IMPERSON FAIL TO DISCLOSE FACT FOR PUB AID O |
| Statute: | 414.39 1A |
| Offense date: | May 15, 2000 |
| Oca number: | 13539 |
| Obts number: | 9032754 |
| Bond amount: | $500 |
| Arresting officer: | 0639 |
| Arrest location: | 27205 JONES LOOP RD #90, PUNTA GORDA, FL |
| Agency: | FL0080000 |
