| Date of birth: | Oct 21, 1958 |
| Hair: | Gray |
| Eyes: | Brown |
| Pin: | 0200401059 |
| Obts: | 5801148275 |
| Id number: | 2573 |
| Employer: | DISABLED |
| Birth place: | DELAND |
| Arresting agency: | FL0560000 |
| Arrest date: | Feb 16, 2010 |
| Arrest location: | 2020 MAIN ST |
| Booking number: | 201000002160 |
| Booking date: | Feb 17, 2010 |
| Release date: | Feb 16, 2010 |
| Booking location: | Sarasota County, FL |
| Statute: | 775.13 |
| Charge description: | CRIMINAL REGISTRATION (NOT AN ARREST): |
| Bond amount: | $0 |