| Date of birth: | Aug 11, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Releasing officer: | C. Shepard |
| Marital status: | Separated |
| Juvenile: | No |
| Jca number: | 86364 |
| Hold for: | CCSO |
| Education: | GED |
| Dl number: | m520-465-64-291-0 |
| Date confined: | Jun 23, 2015 |
| Citizen: | US |
| Birth place: | US |
| Booking number: | 201503960 |
| Booking officer: | C. Shepard |
| Release reason: | Criminal Registration |
| Release date: | Jun 23, 2015 |
| Booking location: | Charlotte County, FL |
| Obts number: | 0803105859 |
| Charge description: | 775.13 - Criminal Registration (Not an Arrest) (LEV:N DEG:N 2513) |
| Arresting officer: | C. Shepard |
| Arrest location: | 26601 Airport Road Punta Gorda Florida 33982 |
| Agency: | FL0080000 |