| Date of birth: | Mar 19, 1940 |
| Hair: | Brown |
| Eyes: | Blue |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | MERCANTILE |
| Employer school: | LEONARDS FURNITURE CO |
| Education: | 16 YRS/ YES |
| Citizen: | Y |
| Birth place: | JERSEY CITY, NJ |
| Apt unit: | J57 |
| Booking location: | Charlotte County, FL |
| Warrant: | 952323T |
| Statute description: | VOP(DUI) CHARCO 952323T |
| Statute: | 948.06 |
| Offense date: | Jun 18, 1996 |
| Oca number: | 04007836 |
| Obts number: | 0801013990 |
| Level: | N |
| Depositer name: | PATRICK, MICHAEL |
| Court date: | Mar 31, 2004 |
| Charge: | N |
| Bond amount: | $1,200 |
| Arresting officer: | JORDAN, LAURA |
| Arrest location: | CCSO JAIL |
| Agency: | FL0080000 |