| Date of birth: | May 23, 1933 |
| Hold: | no |
| Booking number: | 1996-011376 |
| Booking date: | Jul 5, 1996 |
| Release date: | Jul 19, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 800.04 LEWD/LACIV ACT UPON/IN PRES CHILD |
| Charge on arrest docket: | LEWD ACT CHILD INFO FILED |
| Charge number: | 1 |