| Date of birth: | Jul 2, 1942 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | H S GRAD |
| Citizen: | Y |
| Birth place: | CHICAGO IL |
| Booking location: | Charlotte County, FL |
| Warrant: | 041343M |
| Statute description: | FTA(HLTH SAF VIOL DISASTER PREP EMER)CHARCO#041343M |
| Statute: | 901.31 |
| Offense date: | Sep 1, 2004 |
| Oca number: | 04024029 |
| Obts number: | 0801017391 |
| Level: | N |
| Charge: | N |
| Bond amount: | $0 |
| Arresting officer: | WILLIAMS, CHRISTOPHER |
| Arrest location: | 2521 RIO LISBO DRIVE |
| Agency: | FL0080000 |