| Date of birth: | Dec 21, 1954 |
| Hair: | Blonde |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Dl number: | V410058544610 |
| Birth place: | FLORIDA |
| Booking location: | Charlotte County, FL |
| Statute description: | BATTERY / TOUCH OR STRIKE (DOMESTIC) |
| Statute: | 784.03 1a1 |
| Offense date: | Oct 22, 2009 |
| Oca number: | 0910-009800/09-1819M |
| Obts number: | 0801060214 |
| Level: | F |
| Depositer name: | FURLOW, ANGELA |
| Court date: | Nov 18, 2009 |
| Charge: | M |
| Bond amount: | $1,500 |
| Bond agency: | BLANDING BAIL BONDS-3 |
| Arresting officer: | GEYER, MARK |
| Arrest location: | 3407 PALM DR. PUNTA GORDA |
| Agency: | FL0080000 |