| Date of birth: | Jun 28, 1957 |
| Hair: | Brown |
| Eyes: | Hazel |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12TH |
| Citizen: | Y |
| Birth place: | PORTSMITH, VA |
| Booking location: | Charlotte County, FL |
| Warrant: | 031697T |
| Statute description: | VOP (NON REPORT DWLSR) |
| Statute: | 948.06 |
| Offense date: | Oct 1, 2003 |
| Oca number: | 03036462 |
| Obts number: | 0801012534 |
| Level: | N |
| Charge: | N |
| Bond amount: | $360 |
| Arresting officer: | MARSH, MICHAEL |
| Arrest location: | 1700 EDUCATION AVE |
| Agency: | FL0080000 |