| Date of birth: | Dec 18, 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | PROFESSIONAL |
| Employer school: | DR. BERRIOS |
| Education: | 12TH |
| Citizen: | Y |
| Birth place: | NEW YORK |
| Apt unit: | A206 |
| Booking location: | Charlotte County, FL |
| Statute description: | BATTERY DOMESTIC |
| Statute: | 784.03 1a1 |
| Offense date: | Jun 4, 2003 |
| Oca number: | 03015561 |
| Obts number: | 0801008581 |
| Level: | F |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | AYERS, KATHY |
| Arrest location: | 14459 RIVERBEACH DR |
| Agency: | FL0080000 |
