| Date of birth: | Sep 6, 1961 |
| Hair: | Black |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | DRIVER |
| Employer school: | CARL ENVIRO |
| Education: | 12TH |
| Dl number: | 9746590 |
| Citizen: | Y |
| Birth place: | PASSAIC, NJ |
| Apt unit: | 112 |
| Booking location: | Charlotte County, FL |
| Warrant: | 04-994M |
| Statute description: | BATTERY (DOMESTIC) |
| Statute: | 784.03 1a1 |
| Offense date: | Jun 24, 2004 |
| Oca number: | 046523 |
| Obts number: | 0801015737 |
| Level: | F |
| Depositer name: | MCGINNIS, PATRICK D |
| Court date: | Jul 7, 2004 |
| Charge: | M |
| Bond amount: | $1,000 |
| Bond agency: | MCGINNIS BAIL BONDS |
| Arresting officer: | MEDDAUGH |
| Arrest location: | 1260 SUGAR PINE CT #112 |
| Agency: | FL0080200 |