| Date of birth: | Sep 14, 1950 |
| Hair: | Blond |
| Eyes: | Blue |
| Inmate number: | 62853 |
| Employment: | OWNER |
| Detainer: | NO |
| Citizen: | US |
| Case no: | 040116872 |
| Birth place: | BRANFORD, FL |
| Apartment: | Y2 |
| Arresting agency: | FHP |
| Arrest date: | Nov 14, 2004 |
| Booking number: | 39991 |
| Booking date: | Nov 14, 2004 |
| Booking officer: | LMANGI |
| Release date: | Nov 15, 2004 |
| Booking location: | Lake County, FL |
| Statute: | 316.193/2a-MFN |
| Offense type: | M |
| Offense: | DUI CRASH |
| Doc type: | PO |
| Count: | 1 |
| Bondstatus: | Closed |
| Bond type: | C/S |
| Bond amount: | $500 |
| Agency cfs: | 04 CT 36829 |
| Fulfilled: | $500 |
