| Date of birth: | Jan 19, 1958 |
| Report: | 2004-13030/1 |
| Arrest date: | Jun 17, 2004 |
| Arrest location: | COMMERCIAL WY & YELLOW HAMMER LN |
| Booking location: | Hernando County, FL |
| Description: | 893.13 - POSSESS AND OR SALE OF CONTROLLED SUB |
| Description: | 893.147 - POSSESSION DRUG PARAPHERNALIA |