| Date of birth: | May 25, 1953 |
| Hair: | Black |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 10TH |
| Dl number: | S512072536850 |
| Citizen: | Y |
| Birth place: | FT PIERCE, FL |
| Booking location: | Charlotte County, FL |
| Warrant: | 03012421 |
| Statute description: | FTA (DOMESTIC BATTERY) |
| Statute: | 901.31 |
| Offense date: | Feb 19, 2004 |
| Oca number: | 041698 |
| Obts number: | 0801013411 |
| Level: | N |
| Charge: | N |
| Arresting officer: | FEDERICI, TRAY |
| Arrest location: | COLONY POINT/WEST MARION |
| Agency: | FL0080200 |
