| Date of birth: | May 24, 1938 |
| Report: | 2005-28416/1 |
| Arrest date: | Sep 27, 2005 |
| Arrest location: | 13219 DON LP |
| Booking location: | Hernando County, FL |
| Description: | 784.021 - AGG ASSAULT |
| Description: | 893.13 - POSSESS AND OR SALE OF CONTROLLED SUB |
| Description: | 893.147 - POSSESSION DRUG PARAPHERNALIA |