| Date of birth: | Sep 15, 1975 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Employer school: | UNEMPLOYED |
| Education: | 12TH |
| Dl number: | H152-585-716-5 |
| Citizen: | Y |
| Birth place: | MICHIGAN |
| Booking location: | Charlotte County, FL |
| Statute description: | LIQUOR / SELL / GIVE / SERVE PERSON UNDER 21 YOA SUBSQ OFF |
| Statute: | 562.11 1 |
| Offense date: | Oct 6, 2005 |
| Oca number: | 05-10187/051688M |
| Obts number: | 0801024970 |
| Level: | T |
| Court date: | Oct 19, 2005 |
| Charge: | F |
| Bond amount: | $0 |
| Arresting officer: | KING, NICHOLAS |
| Arrest location: | 400 WEST RETTA ESPLANADE/ GILCHREST PARK |
| Agency: | FL0080200 |