| Date of birth: | Mar 19, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Pin: | 0100055263 |
| Obts: | 5801161099 |
| Id number: | 1185 |
| Employer: | UNEMPLOYED |
| Birth place: | SALYERSVILLE |
| Arresting agency: | FL0580000 |
| Arrest date: | Feb 3, 2011 |
| Arrest location: | 2020 MAIN |
| Arrest officer: | D'ANGELO,THOMAS ALAN |
| Booking number: | 201100001638 |
| Booking date: | Feb 3, 2011 |
| Release date: | Feb 3, 2011 |
| Booking location: | Sarasota County, FL |
| Statute: | 775.13 |
| Charge description: | CRIMINAL REGISTRATION (NOT AN ARREST): |
| Bond amount: | $0 |