| Date of birth: | Jun 5, 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Non-Resident |
| Juvenile: | No |
| Employment: | 01 UNEMPLOYED |
| Citizen: | Y |
| Birth place: | VA |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | CRM-1 |
| Obts number: | 9033952 |