| Date of birth: | Sep 11, 1932 |
| Hair: | White |
| Eyes: | Green |
| Photo date: | May 19, 2004 |
| Id number: | 201208 |
| Arrest date: | May 19, 2004 |
| Booking number: | 343212 |
| Release date: | May 21, 2004 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | RESIST OFFICER/RESIST OFFICER WITH VIOLENCE |
| Court: | Circuit Court |
| Case number: | 04015289CF |
| Agency: | LCSO |