| Date of birth: | May 28, 1945 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 102038 |
| Detainer: | NO |
| Citizen: | US |
| Case no: | 095151 |
| Birth place: | VA |
| Arresting agency: | OTHER AGENCY |
| Arrest date: | Feb 22, 2010 |
| Arrest location: | FRUITLAND PARK FL |
| Arrest officer: | DIVIS. OF INSUR FRAUD |
| Booking number: | 10001911 |
| Booking date: | Feb 22, 2010 |
| Booking officer: | 1625 |
| Release date: | Feb 22, 2010 |
| Booking location: | Lake County, FL |
| Statute: | 817.2341-1 |
| Offense type: | FT |
| Offense: | FRAUD-FALSE STATEMENT FILED W INSURANCE OFFICE |
| Doc type: | RO |
| Count: | 1 |
| Bondstatus: | Closed |
| Bond type: | ROR |
| Agency cfs: | 10CF000414D |
