| Date of birth: | Oct 21, 1954 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNKNOWN OR NOT STATED |
| Education: | 11TH |
| Citizen: | Y |
| Birth place: | NEW YORK |
| Booking location: | Charlotte County, FL |
| Warrant: | 1109-008817 |
| Statute description: | OUT-OF-STATE-FUG / FUGITIVE WARRANT OF EXTRADITION |
| Statute: | 941.13 |
| Offense date: | Jul 20, 2011 |
| Oca number: | 1109-008817/11-441 |
| Obts number: | 0803075529 |
| Level: | N |
| Charge: | F |
| Bond amount: | $0 |
| Arresting officer: | BRADLEY MURRAY |
| Arrest location: | 8125 REVERSIDE DR |
| Agency: | FL0080000 |