| Date of birth: | Jan 7, 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | ROOFER |
| Employer school: | LACKIE ROOFING |
| Education: | 11TH |
| Dl number: | E524153610070 |
| Citizen: | Y |
| Birth place: | BELVILLE, NJ |
| Booking location: | Charlotte County, FL |
| Warrant: | 2004MM004073SC |
| Statute description: | BATTERY-TOUCH OR STRIKE SARA CO# 2004MM0040373SC |
| Statute: | 784.03 1a1 |
| Offense date: | Mar 15, 2004 |
| Oca number: | 04007717 |
| Obts number: | 0801013960 |
| Level: | F |
| Depositer name: | PUGH, JAMES D |
| Charge: | M |
| Bond amount: | $20,000 |
| Bond agency: | LARRY'S BAIL BONDS |
| Arresting officer: | HENYECZ, LOUIS |
| Arrest location: | 2110 GIRALDA ST |
| Agency: | FL0080000 |