| Date of birth: | Jul 31, 1940 |
| Hair: | Gray |
| Eyes: | Hazel |
| Photo date: | Sep 2, 2004 |
| Id number: | 204403 |
| Arrest date: | Sep 2, 2004 |
| Booking number: | 354449 |
| Release date: | Sep 2, 2004 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | CARRYING CONCEALED WEAPON FIREARM |
| Court: | Circuit Court |
| Case number: | 04-2175CF |
| Agency: | APD |