| Date of birth: | Jan 21, 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Education: | 11TH |
| Dl number: | B634870560210 |
| Citizen: | Y |
| Birth place: | NEW YORK |
| Booking location: | Charlotte County, FL |
| Statute description: | BATTERY (DOMESTIC) |
| Statute: | 784.03 1a1 |
| Offense date: | Feb 12, 2003 |
| Oca number: | 03003918 |
| Obts number: | 0801006385 |
| Level: | F |
| Depositer name: | BAERINGER, LORAINE ANN |
| Charge: | M |
| Bond amount: | $1,000 |
| Arresting officer: | ALEXANDER, DERYK |
| Arrest location: | 19505 QUESADA AVE APT A206 |
| Agency: | FL0080000 |