| Date of birth: | May 26, 1936 |
| Hair: | Brown |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | RETIRED |
| Employer school: | RETIRED |
| Education: | 18YRS |
| Citizen: | Y |
| Birth place: | MI |
| Apt unit: | 7 |
| Booking location: | Charlotte County, FL |
| Warrant: | 01-396F |
| Statute description: | AGG. ASSAULT |
| Statute: | 784.021 1a |
| Offense date: | May 19, 2001 |
| Oca number: | 01013521 |
| Obts number: | 9037646 |
| Level: | T |
| Charge: | F |
| Arresting officer: | GREGORY, RAYMOND |
| Arrest location: | 2710 N BEACH RD ENGLEWOOD |
| Agency: | FL0080000 |
| Depositer name: | MCGINNIS, PATRICK D |
| Court date: | Jun 28, 2001 |
| Bond amount: | $15,000 |
| Bond agency: | MCGINNIS BAIL BONDS |
