| Date of birth: | Dec 4, 1964 |
| Hair: | Brown |
| Eyes: | Green |
| Inmate number: | 63510 |
| Employment: | UNK |
| Detainer: | NO |
| Citizen: | US |
| Case no: | 05003844 |
| Birth place: | FL |
| Arrest date: | Jan 8, 2005 |
| Booking number: | 41559 |
| Booking date: | Jan 8, 2005 |
| Booking officer: | LMANGI |
| Release date: | Jan 8, 2005 |
| Booking location: | Lake County, FL |
| Booking location: | Lake County, FL |
| Statute: | 784.03/1a1-MFJ |
| Offense type: | M |
| Offense: | SIMPLE BATTERY |
| Doc type: | PC |
| Count: | 1 |
| Bondstatus: | Open |
| Bond type: | C/S |
| Bond amount: | $500 |
| Agency cfs: | 05 MM 173 |
| Amount: | $500 |