| Date of birth: | Feb 18, 1950 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | A0216690 |
| Active: | N |
| Booking number: | 1200023802 |
| Booking date: | Sep 24, 2012 |
| Release date: | Sep 24, 2012 |
| Booking location: | Marion County, FL |
| Violation level: | M |
| Violation description: | PETIT THEFT 2ND DEGREE 1ST OFFENSE; RETAIL PETIT THEFT |
| Violation code: | 812.014-3A |
| Required cash amount: | $0 |
| Obts number: | 4201194155 |
| Clear type: | SURETY |
| Charge number: | 1 |
| Bond type: | SURETY/CASH |
| Bond number: | 561342815-6 |
| Bond amount: | $500 |
| Arrest location: | WALMART |
| Arrest date: | Sep 24, 2012 |
| Agency case number: | 201200172971 |