| Date of birth: | Apr 6, 1944 |
| Hair: | Grey |
| Eyes: | Hazel |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | SELF EMPLOYED |
| Employer school: | EAGLE DRILLING |
| Education: | 12TH GRADE |
| Dl number: | 489469426 |
| Citizen: | Y |
| Birth place: | SPARTA, MO |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | 9040 |
| Offense date: | Jun 10, 2004 |
| Obts number: | 0801023014 |
| Level: | N |
| Charge: | L |
| Arrest location: | CCSO JAIL |
