| Date of birth: | Jan 1, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | FIREFIGHTER |
| Employer school: | CHARLOTTE COUNTY EMS |
| Education: | 12 |
| Dl number: | M255-554-58-001-0 |
| Citizen: | Y |
| Birth place: | ST PETERSBURG, FL |
| Booking location: | Charlotte County, FL |
| Statute description: | DOMESTIC BATTERY (SIMPLE) |
| Statute: | 784.03 1a1 |
| Offense date: | Sep 18, 2004 |
| Oca number: | 04023756 |
| Obts number: | 0801017337 |
| Level: | F |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | WAGNER, MATTHEW |
| Arrest location: | 23372 OLEAN BLVD |
| Agency: | FL0080000 |
