| Date of birth: | May 12, 1953 |
| Hair: | Black |
| Eyes: | Black |
| Photo date: | Apr 29, 2004 |
| Id number: | 200610 |
| Arrest date: | Apr 29, 2004 |
| Booking number: | 340782 |
| Release date: | May 3, 2004 |
| Booking location: | Lee County, FL |
| Type: | Misdemeanor |
| Description: | BATTERY/CAUSE BODILY HARM |
| Court: | Circuit Court |
| Case number: | 04021317MM |
| Agency: | CCPD |