| Date of birth: | Feb 27, 1955 |
| Hair: | Gray |
| Eyes: | Blue |
| Photo date: | Apr 9, 2004 |
| Id number: | 200013 |
| Arrest date: | Apr 9, 2004 |
| Booking number: | 338659 |
| Release date: | Apr 9, 2004 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | OUT OF STATE WARRANT FOR FRAUD - STATE OF MISSOURI/FUGITIVE WARRANT OF EXTRADITION |
| Court: | Circuit Court |
| Case number: | W710004 |
| Agency: | CCPD |