| Date of birth: | Dec 2, 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| Pin: | 0200682405 |
| Occupations: | BABBYSITTER |
| Obts: | 5801165648 |
| Id number: | 2650 |
| Employer: | SELF-EMPLOYED |
| Arresting agency: | FL0580000 |
| Arrest date: | May 8, 2011 |
| Arrest location: | 3021 WILDER AV |
| Arrest officer: | DILLING,JAMES |
| Booking number: | 201100006258 |
| Booking date: | May 9, 2011 |
| Release date: | May 9, 2011 |
| Booking location: | Sarasota County, FL |
| Type: | CB |
| Statute: | 440.105(4b) |
| Charge description: | FRAUD-FALSE STATEMENT: MISREP OMIT INF RE W/C CLAIM LESS 20K DOLS |
| Case number: | 2011 CF 005664 NC |
| Bond amount: | $1,500 |
| Argn date: | Jun 3, 2011 |