| Date of birth: | Sep 30, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Education: | 18 YRS |
| Dl number: | M460-543-64-350-0 |
| Citizen: | Y |
| Birth place: | WI |
| Booking location: | Charlotte County, FL |
| Statute description: | BATTERY DOMESTIC |
| Statute: | 784.03 1a1 |
| Offense date: | Jan 14, 2004 |
| Oca number: | 04001303 |
| Obts number: | 0801012806 |
| Level: | F |
| Court date: | Jan 28, 2004 |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | CIMINO, ANTHONY |
| Arrest location: | 21138 MEEHAN AVE PORT CHARLOTTE |
| Agency: | FL0080000 |