| Date of birth: | Nov 25, 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | 12TH |
| Citizen: | Y |
| Birth place: | CARSON CITY MI |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRATION (NOT AN ARREST) / CONVICTED FELON REGISTRATION |
| Statute: | 775.13 |
| Offense date: | Oct 5, 2004 |
| Obts number: | 0801036543 |
| Level: | N |
| Charge: | F |
| Bond amount: | $0 |
| Arresting officer: | ALEX, THOMAS |
| Arrest location: | 26601 AIRPORT RD PUNTA GORDA |
| Agency: | FL0080000 |
