| Date of birth: | Oct 16, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Non-Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | ALL OTHER |
| Employer school: | RETIRED |
| Citizen: | Y |
| Booking location: | Charlotte County, FL |
| Statute description: | RESIST OFFICER / OBSTRUCT WO VIOLENCE |
| Statute: | 843.02 |
| Offense date: | Sep 6, 2011 |
| Oca number: | 1109-002617 |
| Obts number: | 0803075256 |
| Level: | F |
| Depositer name: | CROSBY, JEFFREY ALLEN |
| Charge: | M |
| Bond amount: | $1,000 |
| Arresting officer: | DAVID MUSGROVE |
| Arrest location: | GILLOT BLVD//TARR ST |
| Agency: | FL0080000 |