| Date of birth: | Aug 31, 1963 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12 |
| Dl number: | P500745633110 |
| Citizen: | Y |
| Birth place: | IL |
| Apt unit: | 112 |
| Booking location: | Charlotte County, FL |
| Warrant: | 04CT038555 |
| Statute description: | OUT-OF-COUNTY WARRANT / FREE TEXT |
| Statute: | 901.04 |
| Offense date: | Aug 27, 2011 |
| Oca number: | 11-407O |
| Obts number: | 0803075063 |
| Level: | N |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | B. SILLS |
| Arrest location: | 2310 TAMIAMI TRL/ PUBLIX PARKING LOT |
| Agency: | FL0080200 |