| Date of birth: | Apr 27, 1941 |
| Obts: | 5003299249 |
| Jacket number: | 0414208 |
| Holds for other agencies: | No |
| Arresting agency: | 32-BOCA RATON |
| Booking date: | Dec 1, 2010 |
| Booking officer: | LORA D BECK |
| Release date: | Dec 2, 2010 |
| Booking location: | Palm Beach County, FL |
| Description: | LARC - PETIT THIRD OR SUBSQ OFF |
| Charge number: | 812.014-2800 |
| Booking number: | 2010059416 |
| Bond amount: | $3,000 |