| Date of birth: | Jan 9, 1957 |
| Hair: | Brown |
| Eyes: | Green |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Dl number: | D450765573210 |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRATION |
| Statute: | CRM-1 |
| Offense date: | Aug 30, 2001 |
| Obts number: | 9039065 |