| Date of birth: | Nov 2, 1941 |
| Hair: | Gray |
| Eyes: | Brown |
| Photo date: | May 26, 2004 |
| Id number: | 201461 |
| Arrest date: | May 26, 2004 |
| Booking number: | 344171 |
| Release date: | May 26, 2004 |
| Booking location: | Lee County, FL |
| Type: | Misdemeanor |
| Description: | LARC/LARC PETIT 1ST OFF |
| Court: | County Court |
| Case number: | 04021717MM |
| Agency: | LCSO |