| Date of birth: | Jan 24, 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| Photo date: | Jul 2, 2004 |
| Id number: | 202654 |
| Arrest date: | Jul 1, 2004 |
| Booking number: | 348114 |
| Release date: | Jul 2, 2004 |
| Booking location: | Lee County, FL |
| Type: | Misdemeanor |
| Description: | DISORD CONDUCT/DISORD CONDUCT |
| Court: | County Court |
| Case number: | 04022181MM |
| Agency: | CCPD |