| Date of birth: | Oct 27, 1950 |
| Hair: | Red |
| Eyes: | Green |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12TH |
| Citizen: | Y |
| Birth place: | STONEHAM, MA |
| Apt unit: | 119 |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | 9040 |
| Offense date: | Sep 20, 2004 |
| Obts number: | 0801017363 |
| Level: | N |
| Charge: | L |
