| Date of birth: | Nov 20, 1951 |
| Hair: | Gray |
| Releasing officer: | M. Bullion |
| Occupation: | DISABLED |
| Marital status: | Divorced |
| Juvenile: | No |
| Jca number: | 85954 |
| Hold for: | CCSO |
| Education: | 12th |
| Date confined: | Apr 30, 2015 |
| Citizen: | US |
| Birth place: | US |
| Booking number: | 201502779 |
| Booking officer: | C. Brucker |
| Release reason: | Criminal Registration |
| Release date: | Apr 30, 2015 |
| Booking location: | Charlotte County, FL |
| Obts number: | 0803104640 |
| Charge description: | 775.13 - Criminal Registration (Not an Arrest) (LEV:N DEG:N 2513) |
| Arresting officer: | H. Nuzum |
| Arrest location: | CHARLOTTE COUNTY DETENTION CENTER |
| Agency: | FL0080000 |
