| Date of birth: | Jul 31, 1937 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 10 |
| Dl number: | S412312372710 |
| Citizen: | Y |
| Birth place: | PENN |
| Apt unit: | B |
| Booking location: | Charlotte County, FL |
| Statute description: | BATTERY / TOUCH OR STRIKE |
| Statute: | 784.03 1a1 |
| Offense date: | Dec 23, 2011 |
| Oca number: | 1112-012091/112181M |
| Obts number: | 0803077419 |
| Level: | F |
| Depositer name: | PUGH, JAMES D |
| Court date: | Jan 12, 2012 |
| Charge: | M |
| Bond amount: | $1,000 |
| Bond agency: | DEBRA CRENSHAW BAIL BONDS |
| Arresting officer: | WILLIAM BUCHINSKY |
| Arrest location: | 4303 EAGLET RD |
| Agency: | FL0080000 |