| Date of birth: | Jun 1, 1958 |
| Hair: | Black |
| Eyes: | Brown |
| Residency: | Non-Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | CLERK |
| Employer school: | AMOCO 3013 TAMIAMI TRAIL |
| Dl number: | P340-511-58-201-0 |
| Birth place: | GURAT II |
| Booking location: | Charlotte County, FL |
| Statute description: | SELL TOBACCO TO UNDERAGE PERSON |
| Statute: | 569.101 1 |
| Offense date: | Oct 22, 2003 |
| Obts number: | 0801011254 |
| Level: | S |
| Depositer name: | PATEL, KANUBHAI KESAV |
| Charge: | M |
| Bond amount: | $250 |
| Arresting officer: | WILLIAMS, KHALID FLORIDA ATF |
| Arrest location: | 3031 TAMIAMI TR PORT CHARLOTTE |
| Agency: | FL0080000 |
