| Date of birth: | Dec 31, 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Juvenile: | No |
| Employment: | DISABLED |
| Education: | 10TH |
| Dl number: | T650171569710 |
| Citizen: | Y |
| Birth place: | ARTESIA,EDDY CO. NM |
| Apt unit: | B |
| Booking location: | Charlotte County, FL |
| Warrant: | 042543T |
| Statute description: | FTA (DWLSR W/ KNOWLEDGE) |
| Statute: | 901.31 |
| Offense date: | Aug 10, 2005 |
| Oca number: | 05017692 |
| Obts number: | 0801023802 |
| Level: | N |
| Depositer name: | KLEIN, BRENT W |
| Charge: | M |
| Bond amount: | $5,000 |
| Bond agency: | AFFORDABLE BAIL BONDS |
| Arresting officer: | CHAPDELAINE, GERALD |
| Arrest location: | 9280 ANITA AVE. #B, ENGLEWOOD, FL |
| Agency: | FL0080000 |
