| Date of birth: | Dec 1, 1925 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Other |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | 8TH GRADE |
| Dl number: | R362620254410 |
| Citizen: | Y |
| Birth place: | PUERTO RICO |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | CRM-1 |
| Offense date: | Aug 9, 2002 |
| Obts number: | 0801003105 |
| Level: | N |
| Charge: | L |
| Bond amount: | $0 |
| Agency: | FL0080000 |
