| Date of birth: | Sep 11, 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Non-Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | LABORER |
| Employer school: | PREMIUM ART ALLIANCE |
| Citizen: | N |
| Birth place: | MEXICO |
| Booking location: | Charlotte County, FL |
| Statute description: | FRAUD / POSS DISPLAY BLANK FORGED STOLEN DR LIC OR ID |
| Statute: | 322.212 1a |
| Oca number: | 11-2323F |
| Obts number: | 0803077332 |
| Level: | T |
| Charge: | F |
| Bond amount: | $25,000 |
| Arresting officer: | DAVOULT |
| Arrest location: | 75 TAYLOR RD |
| Agency: | FL0080200 |