| Date of birth: | Nov 25, 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | 04 MERCANTILE |
| Employer school: | SELF-EMPLOYED |
| Dl number: | F534673654250 |
| Citizen: | Y |
| Birth place: | FL |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRATION |
| Statute: | CRM-1 |
| Offense date: | Jul 5, 2001 |
| Obts number: | 9038306 |
| Bond amount: | $0 |
| Arresting officer: | BLOSSER, HENRY F |
| Arrest location: | CCSO JAIL |
| Agency: | FL0080000 |
