| Date of birth: | Aug 2, 1934 |
| Hair: | Brown |
| Eyes: | Brown |
| Photo date: | Jan 23, 2004 |
| Id number: | 197410 |
| Arrest date: | Jan 22, 2004 |
| Booking number: | 329873 |
| Release date: | Jan 23, 2004 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | NEGLECT CHILD WITHOUT GREAT HARM |
| Court: | Circuit Court |
| Case number: | 04-320CF |
| Agency: | LCSO |