| Date of birth: | Aug 12, 1951 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | 12TH |
| Dl number: | A246550512920 |
| Citizen: | Y |
| Birth place: | MASSACHUSETTS |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | 9040 |
| Offense date: | Jul 4, 2004 |
| Obts number: | 0801018750 |
| Level: | N |
| Charge: | F |
| Arresting officer: | ZIMMERMAN, TRISTA |
| Arrest location: | CCSO JAIL |
| Agency: | FL0080000 |
