| Date of birth: | Nov 12, 1942 |
| Hair: | Grey |
| Eyes: | Hazel |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Dl number: | R525927424120 |
| Citizen: | Y |
| Birth place: | NJ |
| Apt unit: | R103 |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRANT |
| Statute: | CRM-1 |
| Offense date: | Dec 1, 1988 |
| Obts number: | 9039668 |
| Level: | N |
| Charge: | L |
