| Date of birth: | Jul 28, 1943 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | MANAGER |
| Employer school: | CITGO GAS STATION |
| Education: | COLLEGE |
| Dl number: | W-200-541-43-268-0 |
| Citizen: | Y |
| Birth place: | OHIO |
| Booking location: | Charlotte County, FL |
| Statute description: | LIQUOR / SELL GIVE SERVE PERSON UNDER 21 YOA 1ST VIOL |
| Statute: | 562.11 1 |
| Offense date: | Sep 20, 2008 |
| Oca number: | 08018025 |
| Obts number: | 0801050861 |
| Level: | S |
| Depositer name: | PACK, SHIRLEY ANN |
| Charge: | M |
| Bond amount: | $500 |
| Arresting officer: | EILERMAN, JOSEPH |
| Arrest location: | 4821 PLACIDA RD ENG |
| Agency: | FL0080000 |
