| Date of birth: | Aug 21, 1948 |
| Hair: | Brown |
| Eyes: | Blue |
| Release date: | Sep 8, 2009 |
| Inmate status: | RELS |
| City of birth: | ROCK ISLAND |
| Cin: | 512894 |
| Build: | HEAVY |
| Booking number: | 200912018 |
| Booking date: | Sep 8, 2009 |
| Bn: | 129073 |
| Birth place: | IL |
| Arrest date: | Sep 8, 2009 |
| Arresting agency: | PASCO CO SO |
| Booking location: | Pasco County, FL |
| Docket no: | 1359365 |
| Arresting agency: | PASCO CO SO |
| Arrest date: | Sep 8, 2009 |
| Arrest type: | OTHER BOOKING |
| Booking type: | FELONY |
| Dispo type: | BOND |
| Court case: | CRCAA51454CFAES |
| Code: | 893.13.7A9 |
| Charge seq: | 1 |
| Charge description: | FTA - OBTAIN CONTROLLED SUBSTANCE BY FRAUD |
| Bond amount: | $10,013 |
| Statute: | 893.13(7)(A)(9)/F |
| Offense description: | ATTEMPT TO OBTAIN OXYCODONE BY FRAUD |
| Obts: | 5206051452 |
| Court case: | CRC0912966CFANO |
| Charge number: | 1 |
| Bond assessed: | $10,000 |
| Bond amount: | $0 |
| Agency report number: | SO09142248 |