| Date of birth: | Oct 9, 1929 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | 10 UNKNOWN OR NOT STATED |
| Education: | 11 |
| Dl number: | P400760293690 |
| Citizen: | Y |
| Birth place: | INDIANA |
| Booking location: | Charlotte County, FL |
| Statute description: | RETAIL THEFT |
| Statute: | 812.014 3a |
| Offense date: | May 17, 2001 |
| Oca number: | 01013271 |
| Obts number: | 9037609 |
| Level: | S |
| Depositer name: | PAILLE, DORIS CROUCH |
| Court date: | May 30, 2001 |
| Charge: | M |
| Bond amount: | $500 |
| Arresting officer: | STAROWESKY, JENNIFER |
| Arrest location: | 19100 MURDOCK CIR |
| Agency: | FL0080000 |
