| Date of birth: | Jun 13, 1957 |
| Hair: | White |
| Eyes: | Blue |
| Booking number: | 2004019526 |
| Booking date: | Dec 9, 2004 |
| Booking location: | Manatee County, FL |
| Statute: | 784.03-1A1 |
| Seq: | 1 |
| Released date: | Dec 9, 2004 |
| Obts: | 4103072849 |
| Description: | BATTERY - TOUCH OR STRIKE-SIMPLE / DOMESTIC |
| Date arrest: | Dec 9, 2004 |
| Charge: | BATTERY - TOUCH OR STRIKE-SIMPLE |
| Book date: | Dec 9, 2004 |
| Book: | 2004019526 |
| Bond amount: | $1,000 |
