| Date of birth: | Jan 17, 1980 |
| Hair: | Brown |
| Eyes: | Brown |
| Pob: | ZEELAND |
| Pin: | 0200711396 |
| Offense agency: | # 000000000000 |
| Obts: | 5801182800 |
| Id number: | 1185 |
| Employer: | UNEMPLOYED |
| Arresting agency: | I FL0580000 |
| Arrest date: | Sep 14, 2012 |
| Arrest location: | 2020 MAIN ST |
| Arrest officer: | D'ANGELO,THOMAS ALAN |
| Booking number: | 201200012524 |
| Booking date: | Sep 14, 2012 |
| Release date: | Sep 14, 2012 |
| Booking location: | Sarasota County, FL |
| Statute: | 775.13 |
| Charge description: | CRIMINAL REGISTRATION (NOT AN ARREST): |
| Bond amount: | $0 |