| Date of birth: | May 4, 1954 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 96894 |
| Detainer: | NO |
| Citizen: | US |
| Case no: | 09041283 |
| Birth place: | FL |
| Arresting agency: | EUSTIS P.D. |
| Arrest date: | Apr 21, 2009 |
| Arrest location: | EUSTIS FL |
| Arrest officer: | EPD |
| Booking number: | 0920515 |
| Booking date: | Apr 21, 2009 |
| Booking officer: | 1250 |
| Release date: | Apr 22, 2009 |
| Booking location: | Lake County, FL |
| Statute: | 893.13-7a9 |
| Offense type: | FT |
| Offense: | FRAUD OBTAIN CONTROLLED SUBSTANCE BY |
| Count: | 1 |
| Bondstatus: | Closed |
| Bond type: | C/S |
| Bond amount: | $5,000 |
| Agency cfs: | 09 CF 1122 |
| Fulfilled: | $5,000 |