| Date of birth: | Oct 27, 1977 |
| Hair: | Brown |
| Eyes: | Green |
| Releasing officer: | S. Stang |
| Occupation: | OWNER / OPERATOR |
| Marital status: | Married |
| Juvenile: | No |
| Jca number: | 87200 |
| Hold for: | CCSO |
| Education: | 12th |
| Dl number: | W362-513-77-387-0 |
| Date confined: | Oct 12, 2015 |
| Citizen: | US |
| Birth place: | US |
| Booking number: | 201506680 |
| Booking officer: | N. Auger |
| Release reason: | Bonded Out |
| Release date: | Oct 12, 2015 |
| Booking location: | Charlotte County, FL |
| Oca number: | 1510-006348/15-2005M |
| Obts number: | 0803108332 |
| Charge description: | 784.03 1a1 - Battery by Intentional Touch or Strike (LEV:M DEG:F 2560) (Principal - P) |
| Bond amount: | $2,500 |
| Bond agency: | BLANDING BAIL BONDS |
| Arresting officer: | G. Rose |
| Arrest location: | 20600 VETERANS BLVD, EYE HEALTH OF PORT CHARLOTTE |
| Agency: | FL0080000 |