| Date of birth: | Nov 2, 1954 |
| Hair: | Gray |
| Eyes: | Hazel |
| Pin: | 0001275700 |
| Bond amount: | $1,500 |
| Arresting agency: | OTH |
| Arrest number: | 00197754 |
| Booking number: | 201300009654 |
| Booking date: | Nov 7, 2013 |
| Booking location: | Collier County, FL |
| Offense: | WORKERS COMPENSATION FRAUD |
| Court date: | Dec 2, 2013 |
| Count: | 001 |
| Charged: | 11/07/2013 |