| Date of birth: | Jan 5, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | NAPLES, FL 34113 |
| Pin: | 0000008649 |
| Bond amount: | $2,500 |
| Age at arrest: | 43 |
| Arresting agency: | No Info |
| Booking number: | 200400008588 |
| Booking date: | May 17, 2004 |
| Booking location: | Collier County, FL |
| Offense: | FRAUD-IMPERSONATION-FALSE INFO TO LEO WHEN ARRESTED/DETAINED |
| Court date: | Jun 10, 2004 |
| Count: | 001 |
| Charged: | 05/17/2004 |
| Case number: | 04-7480MMA |