| Date of birth: | Apr 16, 1958 |
| Hair: | Gray |
| Eyes: | Hazel |
| Residency: | HOLLYWOOD, FL 33023 |
| Pin: | 0000738415 |
| Bond amount: | $2,000 |
| Age at arrest: | 46 |
| Arresting agency: | CSO |
| Booking number: | 200400007802 |
| Booking date: | May 4, 2004 |
| Booking location: | Collier County, FL |
| Offense: | FTA: NVDL |
| Court date: | Jun 3, 2004 |
| Count: | 001 |
| Charged: | 05/04/2004 |
| Case number: | 04-3702MMA |