| Date of birth: | Jul 28, 1939 |
| Report: | 2004-21309/1 |
| Arrest date: | Oct 5, 2004 |
| Arrest location: | HAWTHORNE RD & FAIRVIEW RD |
| Booking location: | Hernando County, FL |
| Description: | 784.07 - ASLT/BAT/LEO/COR OFC/FF/INT OF |
| Description: | 316.193 - DRIVING UNDER THE INFLUENCE |