| Date of birth: | Jul 23, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | TRUCK DRIVER |
| Employer school: | EXPERT CO INCORP |
| Education: | 12TH |
| Dl number: | T514444592630 |
| Citizen: | Y |
| Birth place: | SALMACA, NY |
| Booking location: | Charlotte County, FL |
| Statute description: | DUI |
| Statute: | 316.193 2a |
| Offense date: | Jun 5, 2004 |
| Oca number: | 04015325 |
| Obts number: | 0801015405 |
| Level: | F |
| Depositer name: | TOMBLIN, KENNETH E |
| Charge: | M |
| Bond amount: | $750 |
| Arresting officer: | RUSSELL, JASON |
| Arrest location: | 1500 PLACIDA RD |
| Agency: | FL0080000 |