| Date of birth: | Feb 25, 1962 |
| Ethnicity: | W |
| Hair: | Gray |
| Eyes: | Hazel |
| Inmate number: | 96663 |
| Detainer: | NO |
| Citizen: | US |
| Case no: | 09040442 |
| Birth place: | MI |
| Arresting agency: | EUSTIS P.D. |
| Arrest date: | Apr 8, 2009 |
| Arrest location: | EUSTIS FL |
| Arrest officer: | FOSTER |
| Booking number: | 0919998 |
| Booking date: | Apr 8, 2009 |
| Booking officer: | C706 |
| Release date: | Apr 30, 2009 |
| Booking location: | Lake County, FL |
| Statute: | 901.36-1 |
| Offense type: | MF |
| Offense: | FRAUD-IMPERSON FALSE ID GIVEN TO LEO |
| Doc type: | TS |
| Count: | 1 |
| Bondstatus: | Closed |
| Bond type: | C/S |
| Bond amount: | $500 |
| Agency cfs: | 09 MM 3078 |
| Fulfilled: | $500 |
