| Date of birth: | Aug 18, 1930 |
| Hair: | Brown |
| Eyes: | Brown |
| Photo date: | Nov 3, 2004 |
| Id number: | 206195 |
| Arrest date: | Nov 3, 2004 |
| Booking number: | 361126 |
| Release date: | Nov 4, 2004 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | BATTERY ON PERSON 65 YEARS OF AGE OR OLDER |
| Court: | Circuit Court |
| Case number: | 04-16803CF |
| Agency: | LCSO |