| Date of birth: | Dec 20, 1946 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | ELECTRICIAN |
| Employer school: | ENGLEWOOD ELECTRIC |
| Education: | 12 YRS |
| Dl number: | S320292464600 |
| Birth place: | INDIANA |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | CRM-1 |
| Offense date: | Jun 1, 1993 |
| Obts number: | 9039986 |
| Level: | N |
| Charge: | L |