| Date of birth: | Jul 25, 1960 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12TH |
| Dl number: | S560513602650 |
| Citizen: | Y |
| Birth place: | NEW BRUNSWICK, NJ |
| Booking location: | Charlotte County, FL |
| Warrant: | 0475UR |
| Statute description: | WRIT OF BODILY ATTACHMENT |
| Statute: | 827.06 |
| Offense date: | Sep 21, 2004 |
| Oca number: | 04028020 |
| Obts number: | 0801018376 |
| Level: | F |
| Charge: | M |
| Bond amount: | $10,160 |
| Arresting officer: | KATSARELAS, KEVIN |
| Arrest location: | ENTERPRISE DRIVE & TAMIAMI TR |
| Agency: | FL0080000 |