| Date of birth: | May 1, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Dl number: | S416731641610 |
| Citizen: | Y |
| Birth place: | PORTLAND, ME |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | 9040 |
| Offense date: | Jun 6, 2003 |
| Obts number: | 0801008626 |
| Level: | N |
| Charge: | L |
| Bond amount: | $0 |
| Arresting officer: | BLOSSER, HENRY F |
| Arrest location: | CCSO JAIL |
| Agency: | FL0080000 |
