| Date of birth: | Aug 14, 1948 |
| Hair: | Brown |
| Eyes: | Blue |
| Releasing officer: | C. Shepard |
| Marital status: | Single |
| Juvenile: | No |
| Jca number: | 87620 |
| Hold for: | CCSO |
| Education: | 12th |
| Date confined: | Dec 12, 2015 |
| Birth place: | NJ |
| Booking number: | 201507992 |
| Booking officer: | B. Scott |
| Release reason: | Criminal Registration |
| Release date: | Dec 12, 2015 |
| Booking location: | Charlotte County, FL |
| Obts number: | 0803109593 |
| Charge description: | 775.13 - Criminal Registration (Not an Arrest) (LEV:N DEG:N 2513) |
| Arresting officer: | B. Scott |
| Arrest location: | 26601 AIRPORT ROAD PUNTA GORDA, FL. 33982 |
| Agency: | FL0080000 |