| Date of birth: | Sep 13, 1936 |
| Hair: | Gray |
| Releasing officer: | C. Shepard |
| Occupation: | RETIRED |
| Marital status: | Single |
| Juvenile: | No |
| Jca number: | 85785 |
| Hold for: | CCSO |
| Education: | 12th |
| Dl number: | D130-643-36-333-0 |
| Date confined: | Apr 9, 2015 |
| Citizen: | US |
| Birth place: | US |
| Booking number: | 201502300 |
| Booking officer: | D. Healey |
| Release reason: | Criminal Registration |
| Release date: | Apr 9, 2015 |
| Booking location: | Charlotte County, FL |
| Obts number: | 0803104156 |
| Charge description: | 775.13 - Criminal Registration (Not an Arrest) (LEV:N DEG:N 2513) |
| Arresting officer: | D. Healey |
| Arrest location: | CCSO JAIL |
| Agency: | FL0080000 |
