| Date of birth: | Aug 14, 1962 |
| Hair: | Unknown or completely bald |
| Eyes: | Blue |
| Occupation: | UNEMPLOYED |
| Marital status: | Single |
| Juvenile: | No |
| Education: | 12TH |
| Citizen: | Y |
| Birth place: | CHESTER PA |
| Supervision type: | PROBATION FELONY |
| Supervision begin date: | Oct 27, 2011 |
| Scheduled termination date: | Oct 26, 2021 |
| Inmate status: | ACTIVE |
| DC number: | V39659 |
| Booking location: | Charlotte County, FL |
| Booking location: | Volusia County, FL |
| Statute description: | CRIMINAL REGISTRATION (NOT AN ARREST) / |
| Statute: | 775.13 |
| Offense date: | Jan 12, 2013 |
| Obts number: | 0801068683 |
| Level: | N |
| Charge: | N |
| Bond amount: | $0 |
| Arresting officer: | KEVIN BALTIMORE |
| Arrest location: | 26601 AIRPORT ROAD (CCSO JAIL) |
| Agency: | FL0080000 |