| Date of birth: | Jan 30, 1954 |
| Hair: | Grey |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 11TH |
| Dl number: | K620-760-54-030-0 |
| Citizen: | Y |
| Birth place: | CAMP KILMER, NJ |
| Booking location: | Charlotte County, FL |
| Warrant: | 041379M |
| Statute description: | BATTERY (DOMESTIC) |
| Statute: | 784.03 1a1 |
| Offense date: | Aug 29, 2004 |
| Oca number: | 04009128 |
| Obts number: | 0801016979 |
| Level: | F |
| Court date: | Sep 15, 2004 |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | KENNEDY, JOHN |
| Arrest location: | 3101 AMES ST |
| Agency: | FL0080200 |
