| Date of birth: | Jun 18, 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | DISABLED |
| Education: | 8TH |
| Dl number: | I516022497180 |
| Citizen: | Y |
| Birth place: | BOSTON,MA |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | 9040 |
| Offense date: | Feb 3, 2004 |
| Obts number: | 0801013151 |
| Level: | N |
| Charge: | L |
| Arrest location: | CCSO JAIL |
