| Date of birth: | Jun 30, 1960 |
| Hair: | Brown |
| Eyes: | Green |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Education: | 9 YEARS |
| Dl number: | M250 516 60 230 0 |
| Citizen: | Y |
| Birth place: | FLORIDA |
| Booking location: | Charlotte County, FL |
| Warrant: | 11400TT |
| Statute description: | PROB VIOLATION / OR COMMTY CONT RE UNK/FEL/MISD/JUV NON CRITRIA |
| Statute: | 948.06 |
| Offense date: | Jul 19, 2011 |
| Oca number: | 1107-012183/11-400T |
| Obts number: | 0803074346 |
| Level: | N |
| Charge: | N |
| Bond amount: | $0 |
| Arresting officer: | RONALD FILIPOWICZ |
| Arrest location: | 1705 SHADOW LANE |
| Agency: | FL0080000 |