| Date of birth: | Oct 28, 1956 |
| Hair: | Blonde |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | LABORER |
| Employer school: | NORTH PORT MULCHING & RECYCLING |
| Dl number: | G450316563880 |
| Citizen: | Y |
| Birth place: | BLUE FIELD, WV |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRATION |
| Statute: | CRM-1 |
| Offense date: | Jan 29, 2001 |
| Obts number: | 9036029 |