| Date of birth: | Mar 8, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 7TH |
| Dl number: | M625550590880 |
| Citizen: | Y |
| Birth place: | FORT OVERTHORT, GA |
| Booking location: | Charlotte County, FL |
| Warrant: | P4-2653T |
| Statute description: | DWLSR |
| Statute: | 322.34 2a |
| Offense date: | Nov 24, 2004 |
| Oca number: | FHPF04OFF070293 |
| Obts number: | 0801018635 |
| Level: | S |
| Charge: | M |
| Arresting officer: | FHP HEINLEIN |
| Arrest location: | US 41 / EDGEWATER |
| Agency: | FL0089000 |
| Warrant: | 04-2653T |
| Statute description: | NO INSURANCE |
| Statute: | 324.201 |
| Offense date: | Nov 24, 2004 |
| Oca number: | FHPF04OFF070293 |
| Obts number: | 0801018635 |
| Level: | S |
| Charge: | M |
| Arresting officer: | FHP HEINLEIN |
| Arrest location: | US 41 / EDGEWATER |
| Agency: | FL0089000 |
| Warrant: | 04-2653T |
| Statute description: | FALSE INFO ON CRASH REPORT |
| Statute: | 316.067 |
| Offense date: | Nov 24, 2004 |
| Oca number: | FHPF04OFF070293 |
| Obts number: | 0801018635 |
| Level: | S |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | FHP HEINLEIN |
| Arrest location: | US 41 / EDGEWATER |
| Agency: | FL0089000 |
| Warrant: | 04-1817M |
| Statute description: | OBSTRUCTION BY DISGUISED PERSON |
| Statute: | 843.03 |
| Offense date: | Nov 24, 2004 |
| Oca number: | FHPF04OFF070293 |
| Obts number: | 0801018635 |
| Level: | F |
| Charge: | M |
| Arresting officer: | FHP HEINLEIN |
| Arrest location: | US 41 / EDGEWATER |
| Agency: | FL0089000 |
