| Date of birth: | Nov 21, 1931 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | 12TH GRADE |
| Dl number: | W656546314210 |
| Citizen: | Y |
| Birth place: | RIVERHEAD, NY |
| Booking location: | Charlotte County, FL |
| Statute description: | DUI |
| Statute: | 316.193 2a |
| Offense date: | Nov 27, 2004 |
| Oca number: | 04029283 |
| Obts number: | 0801018688 |
| Level: | F |
| Court date: | Dec 8, 2004 |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | HECK JR, JOHN |
| Arrest location: | RIVERWOOD RD & WILLOW GLEN, PT CHARLOTTE |
| Agency: | FL0080000 |
