| Date of birth: | Oct 21, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12 YRS |
| Dl number: | H540872608810 |
| Citizen: | Y |
| Birth place: | TX |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | CRM-1 |
| Offense date: | Jun 25, 2002 |
| Obts number: | 0801002370 |
| Level: | N |
| Charge: | L |