| Date of birth: | Sep 15, 1968 |
| Hair: | Brown |
| Eyes: | Blue |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | PROFESSIONAL |
| Employer school: | DENTAL LAB OWNER |
| Education: | AS DEGREE |
| Dl number: | G363-473-68-335-0 |
| Citizen: | Y |
| Birth place: | CLEARWATER, FL |
| Booking location: | Charlotte County, FL |
| Statute description: | BATTERY / CAUSE BODILY HARM(SIMPLE) |
| Statute: | 784.03 1a2 |
| Offense date: | Jul 25, 2007 |
| Oca number: | 07014691/07-1249M |
| Obts number: | 0801039938 |
| Level: | F |
| Depositer name: | GODDARD, BETTY H |
| Court date: | Aug 8, 2007 |
| Charge: | M |
| Bond amount: | $500 |
| Arresting officer: | CLIFTON, RYAN |
| Arrest location: | 1030 BAY HARBOR DRIVE |
| Agency: | FL0080000 |
