| Date of birth: | Jun 5, 1932 |
| Hair: | Gray |
| Eyes: | Blue |
| Photo date: | Jun 30, 2004 |
| Id number: | 202588 |
| Arrest date: | Jun 30, 2004 |
| Booking number: | 347894 |
| Release date: | Jun 30, 2004 |
| Booking location: | Lee County, FL |
| Type: | Felony |
| Description: | AGGRAV ASSLT/W DEADLY WEAPON WITHOUT INTENT TO KILL |
| Court: | Circuit Court |
| Case number: | 04015673CF |
| Agency: | CCPD |