| Date of birth: | May 7, 1944 |
| Hair: | Brw |
| Eyes: | Hazel |
| Photo date: | Oct 29, 2004 |
| Id number: | 206020 |
| Arrest date: | Oct 29, 2004 |
| Booking number: | 360550 |
| Release date: | Oct 30, 2004 |
| Booking location: | Lee County, FL |
| Type: | Misdemeanor |
| Description: | LARC/LARC PETIT 1ST OFF |
| Court: | County Court |
| Case number: | 04023850MM |
| Agency: | LCSO |