| Date of birth: | Nov 27, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | UNKNOWN OR NOT STATED |
| Dl number: | F460436644271 |
| Citizen: | Y |
| Birth place: | MASSACHUSETTS |
| Booking location: | Charlotte County, FL |
| Statute description: | BATTERY / TOUCH OR STRIKE |
| Statute: | 784.03 1a1 |
| Offense date: | Oct 29, 2011 |
| Oca number: | 1110-017238/11-1855M |
| Obts number: | 0803076399 |
| Level: | F |
| Depositer name: | DEJESUS, VINCENT |
| Court date: | Nov 23, 2011 |
| Charge: | M |
| Bond amount: | $1,000 |
| Bond agency: | AAA BUNDY'S BAIL BONDS |
| Arresting officer: | JASON BROWNIE |
| Arrest location: | 2585 NORTH BEACH ROAD |
| Agency: | FL0080000 |