| Date of birth: | Feb 18, 1966 |
| Hair: | Bald |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | SERVICE TECH |
| Employer school: | BATH CREST |
| Education: | 10TH |
| Dl number: | L200172660580 |
| Citizen: | Y |
| Birth place: | HOLLYWOOD, FL |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | 9040 |
| Offense date: | Jul 13, 2004 |
| Obts number: | 0801024060 |
| Level: | N |
| Charge: | L |
| Arresting officer: | Mills, John |
| Arrest location: | CCSO JAIL |
| Agency: | FL0080000 |
