| Date of birth: | Nov 18, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | HOMEMAKER |
| Education: | 12TH GRADE |
| Dl number: | K142-791-62-918-0 |
| Citizen: | Y |
| Birth place: | MN |
| Booking location: | Charlotte County, FL |
| Statute description: | BATTERY / TOUCH OR STRIKE |
| Statute: | 784.03 1a1 |
| Offense date: | Sep 21, 2011 |
| Oca number: | 1109-011297/11-1653M |
| Obts number: | 0803075618 |
| Level: | F |
| Depositer name: | KOBLISKA, DAVID ROBERT |
| Court date: | Oct 13, 2011 |
| Charge: | M |
| Bond amount: | $1,200 |
| Arresting officer: | BRIAN GEYER |
| Arrest location: | 151 APPIAN ST PORT CHARLOTTE |
| Agency: | FL0080000 |
