| Date of birth: | Dec 5, 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | GROUNDS PERSON |
| Employer school: | ADVENTURE GOLF |
| Education: | 11TH |
| Dl number: | W425316444450 |
| Citizen: | Y |
| Birth place: | ARCADIA, FL |
| Booking location: | Charlotte County, FL |
| Warrant: | 941298CA |
| Statute description: | WITHHOLD SUPPORT NON SUPPORT OF CHILDREN OR SPOUSE |
| Statute: | 827.06 |
| Offense date: | Jul 20, 2004 |
| Oca number: | 04020434 |
| Obts number: | 0801016470 |
| Level: | F |
| Depositer name: | WILSON, BEVERLY ANN |
| Charge: | M |
| Bond amount: | $660 |
| Arresting officer: | HENYECZ, LOUIS |
| Arrest location: | 148 CONCORD DRIVE P.C, FL 33952 |
| Agency: | FL0080000 |