| Date of birth: | Sep 30, 1939 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | 11 |
| Dl number: | RUSHTER6120T |
| Citizen: | Y |
| Birth place: | BELLVIEW OHIO |
| Booking location: | Charlotte County, FL |
| Statute description: | SEX OFFENDER REGISTRATION (NOT AN ARREST) / IDENTIFY SEXUAL OFFENDER |
| Statute: | 943.0435 |
| Offense date: | Jun 6, 2007 |
| Obts number: | 0801038733 |
| Level: | N |
| Charge: | N |