| Date of birth: | Dec 14, 1955 |
| Inmate status: | Not In Custody |
| Booking number: | 831550 |
| Booking date: | Sep 15, 2010 |
| Booking location: | Volusia County, FL |
| Offense date: | Sep 15, 2010 |
| General offense code: | FORGERY |
| Case number: | 1983 002622 CFAWS |
| Arrest type: | FTA |
| Agency report number: | 100028915 |