| Date of birth: | Oct 28, 1929 |
| Hair: | Gray |
| Eyes: | Green |
| Mni: | GCSO03MNI012045 |
| Jurisdiction: | GLADES COUNTY SHERIFF'S OFFICE |
| Custody status: | RELEASED |
| Booking number: | GCSO04JBN000710 |
| Booking date: | Sep 14, 2004 |
| Release date: | Sep 14, 2004 |
| Booking location: | Glades County, FL |
| Counts: | 1 |
| Charge: | 784.03 /, Battery |
| Bond amount: | $500 |