| Date of birth: | Aug 27, 1921 |
| Hair: | Bald |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | 9TH GRADE |
| Citizen: | Y |
| Birth place: | MINNEAPOLIS, MN |
| Booking location: | Charlotte County, FL |
| Statute description: | FELONY BATTERY-DOMESTIC |
| Statute: | 784.03 1a1 |
| Offense date: | Nov 2, 2002 |
| Oca number: | 02029215 |
| Obts number: | 0801004692 |
| Level: | F |
| Depositer name: | GORDON, ANGELA |
| Court date: | Nov 25, 2002 |
| Charge: | M |
| Bond amount: | $2,500 |
| Bond agency: | BLANDING BAIL BONDS |
| Arresting officer: | STREJCEK, LAWRENCE |
| Arrest location: | 21298 OLEAN BLVD |
| Agency: | FL0080000 |