| Date of birth: | Oct 10, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | NORTHPORT, FL 342866 |
| Pin: | 0001081619 |
| Bond amount: | $455.50 |
| Age at arrest: | 43 |
| Arresting agency: | MPD |
| Booking number: | 200400012812 |
| Booking date: | Jul 31, 2004 |
| Booking location: | Collier County, FL |
| Offense: | FTA/NON COMP HRG COLL CT |
| Count: | 001 |
| Charged: | 07/31/2004 |
| Case number: | 04-06798MMALDM |