| Date of birth: | Jul 4, 1937 |
| Hair: | Gray |
| Eyes: | Blue |
| Booking number: | 2012012549 |
| Booking date: | Nov 1, 2012 |
| Booking location: | Manatee County, FL |
| Statute: | 812.014-2C1 |
| Seq: | 1 |
| Obts: | 4104021690 |
| Description: | THEFT 300-5,000 - SHOPLIFTING / CAPIAS |
| Date arrest: | Nov 1, 2012 |
| Charge: | THEFT 300-5,000 - SHOPLIFTING |
| Book date: | Nov 1, 2012 |
| Book: | 2012012549 |
| Bond amount: | $5,000 |