| Date of birth: | Sep 11, 1943 |
| Hair: | Gray |
| Eyes: | Gray |
| Docket no: | 1235230 |
| Birth place: | IA |
| Arrest date: | Feb 21, 2007 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | PAPERWORK ONLY |
| Statute: | 414.39(5)(B)/F |
| Offense description: | WELFARE FRAUD |
| Obts: | 5208000890 |
| Court case: | CRC0703216CFANO |
| Charge number: | 1 |
| Bond assessed: | $5,000 |
| Bond amount: | $0 |
| Agency report number: | SO07000000 |