| Date of birth: | Dec 18, 1943 |
| Offense: | FHPE04OPFF06061 |
| Employment: | MCSO00MNI446961 in RETIRED |
| Arresting agency: | FHP - |
| Arrest number: | MCSO04ARR009578 |
| Arrest date: | Oct 29, 2004 |
| Booking location: | Monroe County, FL |
| Statute: | 1 Felony Count(s) of 440.105.f4 |
| Description: | FRAUD - WORKER COMPENSATION CLAIM PROVISIONS VIOLATION |