| Date of birth: | Jan 30, 1975 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12YRS |
| Citizen: | Y |
| Birth place: | NEW BRITTON, CN |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | 9040 |
| Offense date: | Dec 15, 2003 |
| Obts number: | 0801012291 |
| Level: | N |
| Charge: | L |
