| Date of birth: | Aug 7, 1936 |
| Hair: | Gray |
| Third party agency: | HBP |
| Obts: | 4104018811 |
| Marital status: | M |
| Hold status: | NO HOLD |
| Booking status: | I |
| Booking number: | 2012007165 |
| Booking date: | Jun 16, 2012 |
| Release date: | Jun 17, 2012 |
| Booking location: | Manatee County, FL |
| Statute number: | 918.13 |
| Seq: | 1 |
| Fel misd: | F |
| Charge description: | TAMPER W/FABRICATE PHYS E |
| Bond status: | SROR |
| Bond amount: | $0 |
| Statute number: | 843.02 |
| Seq: | 2 |
| Fel misd: | M |
| Charge description: | RESIST/OBST- OFCR W/O VIO |
| Bond status: | SROR |
| Bond amount: | $0 |