| Date of birth: | Aug 31, 1945 |
| Inmate status: | Not In Custody |
| Booking number: | 819000 |
| Booking date: | Mar 28, 2010 |
| Booking location: | Volusia County, FL |
| Offense date: | Mar 28, 2010 |
| General offense code: | LEAVING SCENE OF CRASH INVOLVING DAMAGE |
| Case number: | 2009 013167 MMAWS |
| Arrest type: | FTA |
| Agency report number: | NS2010030418 |