| Date of birth: | Nov 25, 1980 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12TH |
| Dl number: | C260-4218-0425-0 |
| Citizen: | Y |
| Birth place: | FT LAUDERRDALE, FL |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRATION (NOT AN ARREST) / |
| Statute: | 775.13 |
| Offense date: | Oct 17, 2011 |
| Obts number: | 0801067440 |
| Level: | N |
| Charge: | N |
| Arresting officer: | NICHOLAS WESTLAKE |
| Arrest location: | CHARLOTTE COUNTY JAIL |
| Agency: | FL0080000 |