| Date of birth: | Aug 12, 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| Photo date: | Sep 21, 2004 |
| Id number: | 204891 |
| Arrest date: | Sep 21, 2004 |
| Booking number: | 356398 |
| Release date: | Sep 22, 2004 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | FRAUD-IMPERSON IMPERSONATE PUBLIC ADJUSTER WO A LIC FROM DOI |
| Court: | Circuit Court |
| Case number: | 04-2282CF |
| Agency: | SAO |