| Date of birth: | Jul 7, 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Dl number: | E260925452470 |
| Birth place: | ENGLEWOOOD, NJ |
| Booking location: | Charlotte County, FL |
| Statute description: | RETAIL THEFT |
| Statute: | 812.014 3a |
| Offense date: | Jul 13, 2003 |
| Oca number: | 03019625 |
| Obts number: | 0801009242 |
| Level: | S |
| Depositer name: | MCGINNIS, PATRICK D |
| Charge: | M |
| Bond amount: | $500 |
| Bond agency: | MCGINNIS BAIL BONDS |
| Arresting officer: | WOLFF, JAMES |
| Arrest location: | WAL MART/ ENGLEWOOD |
| Agency: | FL0080000 |