| Date of birth: | Aug 16, 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| Residency: | Non-Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | REFUSED |
| Education: | REFUSED |
| Dl number: | S530-161-55-296-0 |
| Citizen: | Y |
| Birth place: | REFUSED |
| Booking location: | Charlotte County, FL |
| Statute description: | BREACH OF PEACE |
| Statute: | 877.03 |
| Offense date: | Jul 3, 2005 |
| Oca number: | 05-6848 |
| Obts number: | 0801023109 |
| Level: | S |
| Charge: | M |
| Bond amount: | $500 |
| Arresting officer: | JOSE SANCHEZ PGPD |
| Arrest location: | 1200 W RETTA ESPL (HARPOON HARRYS) |
| Agency: | FL0080200 |
