| Date of birth: | Apr 24, 1973 |
| Hair: | Brown |
| Eyes: | Hazel |
| Residency: | Non-Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | CHEMICAL TECH |
| Employer school: | PM INC |
| Education: | 18 |
| Citizen: | Y |
| Birth place: | ELMIRA, NY |
| Booking location: | Charlotte County, FL |
| Statute description: | AGGRAVATED BATTERY (DOMESTIC) |
| Statute: | 784.045 1b |
| Offense date: | Nov 26, 2004 |
| Oca number: | 04029204 |
| Obts number: | 0801018666 |
| Level: | S |
| Depositer name: | WILLIAMS, PATRICIA M |
| Court date: | Jan 10, 2005 |
| Charge: | F |
| Bond amount: | $5,000 |
| Arresting officer: | WAGNER, MATTHEW |
| Arrest location: | 380 DUXBURY AVE |
| Agency: | FL0080000 |