| Date of birth: | May 26, 1947 |
| Hair: | Brown |
| Eyes: | Hazel |
| Photo date: | Aug 19, 1999 |
| Id number: | 158829 |
| Arrest date: | Jul 13, 1999 |
| Booking number: | 205451 |
| Release date: | Jul 13, 1999 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | FLORIDA ID CARD FRAUD |
| Court: | Circuit Court |
| Case number: | BK-205451 |
| Agency: | FHP |