| Date of birth: | Apr 27, 1941 |
| Hair: | Brw |
| Eyes: | Hazel |
| Photo date: | Aug 30, 2004 |
| Id number: | 204348 |
| Arrest date: | Aug 30, 2004 |
| Booking number: | 354171 |
| Release date: | Aug 31, 2004 |
| Booking location: | Lee County, FL |
| Type: | Misdemeanor |
| Description: | LARC/LARC PETIT 1ST OFF |
| Court: | County Court |
| Case number: | 04022990MM |
| Agency: | LCSO |