| Date of birth: | Apr 11, 1938 |
| Hair: | Black |
| Eyes: | Blue |
| Photo date: | Jun 27, 2004 |
| Id number: | 31850 |
| Arrest date: | Jun 27, 2004 |
| Booking number: | 347633 |
| Release date: | Jun 28, 2004 |
| Booking location: | Lee County, FL |
| Type: | Misdemeanor |
| Description: | RESIST OFFICER/OBSTRUCT WO VIOLENCE |
| Court: | County Court |
| Case number: | 04022141MM |
| Agency: | FMPD |