| Date of birth: | Jul 18, 1962 |
| Hair: | Blonde |
| Eyes: | Green |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | LAB ASSISTANT |
| Employer school: | ALL MEDICAL STAFFING |
| Education: | 13 |
| Dl number: | T655-660-62-758-0 |
| Birth place: | MANNHEIM, GERMANY |
| Booking location: | Charlotte County, FL |
| Warrant: | 20089644 |
| Statute description: | OUT-OF-COUNTY WARRANT - DESOTO - UTTERING FORGED INSTRUMENT/FORGERY/GRAND THEFT |
| Statute: | 901.04 |
| Offense date: | Nov 5, 2008 |
| Oca number: | 08021100 |
| Obts number: | 0801052007 |
| Level: | N |
| Depositer name: | PUGH, JAMES D |
| Charge: | N |
| Bond amount: | $3,000 |
| Bond agency: | BLANDING BAIL BONDS-3 |
| Arresting officer: | YOUNG, JEFFREY |
| Arrest location: | 2157 AUGUSTA AVE |
| Agency: | FL0080000 |