| Date of birth: | Jan 9, 1948 |
| Hair: | Black |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | 14 YRS |
| Dl number: | R20004048009 |
| Citizen: | Y |
| Birth place: | CHICAGO, IL |
| Booking location: | Charlotte County, FL |
| Statute description: | SIMPLE BATTERY (DOMESTIC) |
| Statute: | 784.03 1a1 |
| Offense date: | Jan 8, 2003 |
| Oca number: | 03000656 |
| Obts number: | 0801005792 |
| Level: | F |
| Depositer name: | HASKELL, THOMAS J JR |
| Court date: | Jan 22, 2003 |
| Charge: | M |
| Bond amount: | $2,500 |
| Bond agency: | ALL STATE BAIL BONDS |
| Arresting officer: | ULRICH, DONALD |
| Arrest location: | 2615 OBERON ROAD |
| Agency: | FL0080000 |
