| Date of birth: | May 6, 1957 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | BONITA SPRINGS, FL 34135 |
| Pin: | 0000705492 |
| Bond amount: | $2,500 |
| Age at arrest: | 47 |
| Arresting agency: | CSO |
| Booking number: | 200400014005 |
| Booking date: | Aug 22, 2004 |
| Booking location: | Collier County, FL |
| Offense: | FRAUD-OBTAIN CONTROLLED SUBSTANCE |
| Court date: | Sep 20, 2004 |
| Count: | 001 |
| Charged: | 08/22/2004 |