| Date of birth: | May 5, 1937 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Non-Resident |
| Juvenile: | No |
| Employment: | RETIRED |
| Dl number: | S8676951 |
| Citizen: | U |
| Birth place: | POLAND |
| Apt unit: | 12 |
| Booking location: | Charlotte County, FL |
| Statute description: | LARC / PETIT 1ST OFF |
| Statute: | 812.014 3a |
| Offense date: | Nov 13, 2011 |
| Oca number: | 11-1946M |
| Obts number: | 0803076697 |
| Level: | S |
| Depositer name: | SANTIAGO, NICHOLAS |
| Court date: | Dec 8, 2011 |
| Charge: | M |
| Bond amount: | $750 |
| Bond agency: | BLANDING BAIL BONDS-3 |
| Arresting officer: | TERRY CHOW |
| Arrest location: | 1200 W MARION AVE #F10 |
| Agency: | FL0080200 |