| Date of birth: | Jan 7, 1946 |
| Hair: | Black |
| Eyes: | Brown |
| Booking number: | 2014000289 |
| Booking date: | Jan 8, 2014 |
| Booking location: | Manatee County, FL |
| Statute: | 322.212-5A |
| Seq: | 1 |
| Obts: | 4132006094 |
| Description: | USE FALSE INFORMATION TO OBTAIN DRIVERS LIC |
| Date arrest: | Jan 8, 2014 |
| Charge: | USE FALSE INFORMATION TO OBTAIN DRIVERS LIC |
| Book date: | Jan 8, 2014 |
| Book: | 2014000289 |
| Bond amount: | $1,500 |