| Date of birth: | Sep 28, 1923 |
| Hair: | Black |
| Eyes: | Black |
| Photo date: | Jun 30, 2004 |
| Id number: | 202605 |
| Arrest date: | Jun 30, 2004 |
| Booking number: | 347975 |
| Release date: | Jun 30, 2004 |
| Booking location: | Lee County, FL |
| Type: | Misdemeanor |
| Description: | FAILURE TO APPEAR/FAILURE TO APPEAR FAILURE TO APPEAR FOR MISDEMEANOR OFFENSE |
| Court: | County Court |
| Case number: | 04005460MO |
| Agency: | LCSO |