| Date of birth: | Sep 14, 1955 |
| Hair: | Blonde |
| Eyes: | Blue |
| Residency: | Non-Resident |
| Marital status: | Married |
| Juvenile: | No |
| Education: | 13 |
| Citizen: | Y |
| Birth place: | GREENVILLE PA |
| Booking location: | Charlotte County, FL |
| Warrant: | 041053M |
| Statute description: | BATTERY DOMESTIC |
| Statute: | 784.03 1a1 |
| Offense date: | Jul 6, 2004 |
| Oca number: | 04018103 |
| Obts number: | 0801015986 |
| Level: | F |
| Court date: | Jul 21, 2004 |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | BEASLEY, WADE |
| Arrest location: | 2646 TAMIAMI TRL, CIRCLE K PORT CHARLOTTE |
| Agency: | FL0080000 |
