| Date of birth: | Apr 20, 1940 |
| Ethnicity: | N |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 00888200 |
| Release remarks: | 1421 |
| Release code: | SURETY BOND |
| Purge: | $0.00 |
| Pob: | MA |
| Occupation: | MA |
| Obts: | 2938097820 |
| Jurisdiction: | TA |
| Inmate status: | RELEASED |
| Fine: | $0 |
| Cash: | $0.00 |
| Build: | MED |
| Bond amount: | $2,000 |
| Arresting agency: | HCSO |
| Arrest date: | Mar 20, 2017 |
| Arrest location: | 800 TWIGGS ST E |
| Booking number: | 17010564 |
| Booking date: | Mar 20, 2017 |
| Release date: | Mar 21, 2017 |
| Booking location: | Hillsborough County, FL |
| Type: | DIRECT INFO |
| Report number: | 17197364 |
| Obts number: | 2938097820 |
| No: | 1 |
| Disposition: | SURETY BOND |
| Date: | Mar 20, 2017 |
| Custody days: | 1 |
| Ct case number: | 17-CF-003737 |
| Cra number: | HS17008514 |
| Court: | 31 |
| Count: | 1 |
| Code: | FRAU2044 |
| Class: | F3 |
| Charge description: | WORKERS COMPENSATION FRAUD FAILURE TO SEC |
| Bp: | B |
| Bond amount: | $2,000 |
| Agency: | HCSO |
