| Date of birth: | Aug 6, 1938 |
| Hair: | Gray |
| Eyes: | Blue |
| Pin: | 0000084080 |
| Occupations: | RETIRED |
| Obts: | 5802044710 |
| Id number: | 2580 |
| Employer: | RETIRED |
| Birth place: | MARION |
| Arresting agency: | FL0580000 |
| Arrest date: | Nov 23, 2011 |
| Arrest location: | 3351 SUNSET BEACH DR |
| Arrest officer: | GIPSON,GEORGE |
| Booking number: | 201100015998 |
| Booking date: | Nov 23, 2011 |
| Release date: | Nov 23, 2011 |
| Booking location: | Sarasota County, FL |
| Type: | AB |
| Statute: | 817.566 |
| Charge description: | PASS FORGED: COLLEGE DEGREE |
| Case number: | 2011MM015437SC |
| Bond amount: | $1,000 |
| Argn date: | Dec 8, 2011 |
| Type: | AB |
| Statute: | 817.567 |
| Charge description: | FRAUD-FALSE STATEMENT: CLAIM POSSESSION OF DEGREE NOT AWARDED |
| Case number: | 2011MM015437SC |
| Bond amount: | $1,000 |
| Argn date: | Dec 8, 2011 |
| Type: | AB |
| Statute: | 491.012(1b) |
| Charge description: | FRAUD-IMPERSON: USE TITLE MARRIAGE/FAM THERAP COUNSEL WO TITLE |
| Case number: | 2011MM015437SC |
| Bond amount: | $1,000 |
| Argn date: | Dec 8, 2011 |
