| Date of birth: | Jun 3, 1958 |
| Hair: | Brown |
| Eyes: | Green |
| Residency: | Non-Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12TH YES |
| Dl number: | C512440582030 |
| Citizen: | Y |
| Birth place: | DETROIT MI |
| Booking location: | Charlotte County, FL |
| Warrant: | 96-470M |
| Statute description: | VOP(CRIMINAL MISCHIEF) CHARCO 96-470M |
| Statute: | 948.06 |
| Offense date: | Jan 2, 2003 |
| Oca number: | 03000167 |
| Obts number: | 0801005698 |
| Level: | N |
| Charge: | N |
| Bond amount: | $290 |
| Arresting officer: | FILLIEZ, RENEE |
| Arrest location: | CCSO JAIL |
| Agency: | FL0080000 |