| Date of birth: | Sep 5, 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Non-Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | DAY LABOR |
| Education: | 12TH GRADE |
| Dl number: | P400-930-48-325-0 |
| Citizen: | Y |
| Birth place: | MICHIGAN |
| Booking location: | Charlotte County, FL |
| Warrant: | 04-920M |
| Statute description: | BATTERY |
| Statute: | 784.03 1a1 |
| Offense date: | Jun 15, 2004 |
| Oca number: | 04016297 |
| Obts number: | 0801015582 |
| Level: | F |
| Court date: | Jun 30, 2004 |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | ROGUSKA, JILL |
| Arrest location: | 20127 VENTURA AVENUE |
| Agency: | FL0080000 |
