| Date of birth: | Aug 9, 1967 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Lbr |
| Zipcode: | 32159 |
| Occupation: | PUBLIX MANAGER |
| Inmate number: | 13166 |
| First middle last: | MICHAEL DOUGLAS BLACK |
| Detainer: | NO |
| Citizen: | US |
| Case: | 04155292 |
| Birth place: | WABASH, INDIANA |
| Arrest date: | Dec 13, 2004 |
| Booking number: | 40816 |
| Booking officer: | JBURKE |
| Release date: | Dec 13, 2004 |
| Booking location: | Lake County, FL |
| Statute: | 843.15/1a-FTJ |
| Offense type: | M |
| Doc type: | FI |
| Count: | 1 |
| Bondstatus: | Closed |
| Bond type: | C/S |
| Bond amount: | $2,000 |
| Agency cfs: | 2004CT026844 |
| Fulfilled: | $2,000 |
