| Date of birth: | Jan 13, 1942 |
| Hair: | Blond |
| Eyes: | Brown |
| Docket no: | 1462110 |
| Complexion: | XXX |
| Birth place: | NY |
| Arrest date: | Jul 11, 2011 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | FELONY |
| Statute: | 812.014(2)(C)(1)/F |
| Offense description: | RETAIL THEFT |
| Obts: | 5206097802 |
| Court case: | CRC1114068CFANO |
| Charge number: | 1 |
| Bond assessed: | $2,000 |
| Bond amount: | $0 |
| Agency report number: | CW11082883 |