| Date of birth: | Apr 20, 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| Photo date: | Jun 12, 2004 |
| Id number: | 200154 |
| Arrest date: | Jun 12, 2004 |
| Booking number: | 346196 |
| Release date: | Jun 17, 2004 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | MOVING TRAFFIC VIOL DRIVE ON PERMANENTLY REVOKED DRIVER LICENSE |
| Court: | Circuit Court |
| Case number: | 04-1698CF |
| Agency: | LCSO |