| Date of birth: | Jun 26, 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNKNOWN OR NOT STATED |
| Citizen: | Y |
| Booking location: | Charlotte County, FL |
| Warrant: | 04-1562M |
| Statute description: | BUI |
| Statute: | 327.35 |
| Offense date: | Sep 24, 2004 |
| Oca number: | 2004SW86777 |
| Obts number: | 0801017465 |
| Level: | S |
| Depositer name: | CRENSHAW, DEBRA A |
| Court date: | Oct 6, 2004 |
| Charge: | M |
| Bond amount: | $1,500 |
| Bond agency: | A ALLSTATES BAIL BONDS |
| Arresting officer: | FWC OFR DONNA CARO #B450 |
| Arrest location: | 1355 HOLIDAY DR |
| Agency: | FL0368000 |
