| Date of birth: | Apr 4, 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Employer school: | DISABLED |
| Education: | 12TH |
| Citizen: | Y |
| Birth place: | BROOKLYN, NY |
| Booking location: | Charlotte County, FL |
| Warrant: | 04-890M |
| Statute description: | BATTERY DOMESTIC |
| Statute: | 784.03 1a1 |
| Offense date: | Jun 10, 2004 |
| Oca number: | 04015814 |
| Obts number: | 0801015488 |
| Level: | F |
| Depositer name: | MCGINNIS, PATRICK D |
| Court date: | Jun 23, 2004 |
| Charge: | M |
| Bond amount: | $1,000 |
| Bond agency: | MCGINNIS BAIL BONDS |
| Arresting officer: | CIGNARALE, PAUL |
| Arrest location: | 21025 PEACHLAND AVE |
| Agency: | FL0080000 |
