| Date of birth: | Jul 2, 1952 |
| Report: | 2004-21584/3 |
| Arrest date: | Oct 14, 2004 |
| Arrest location: | 16425 SPRING HILL DR |
| Booking location: | Hernando County, FL |
| Description: | 784.03 - DOMESTIC BATTERY |
| Description: | 787.02 - FALSE IMPRISONMENT |
| Description: | 914.22 - TAMPER/HARASS WITNESS-VICTIM |