| Date of birth: | Aug 27, 1941 |
| Report: | 2004-04054/3 |
| Arrest date: | Feb 24, 2004 |
| Arrest location: | 13530 BANYAN RD |
| Booking location: | Hernando County, FL |
| Description: | 893.13 - POSSESS AND OR SALE OF CONTROLLED SUB |
| Description: | 893.147 - POSSESSION DRUG PARAPHERNALIA |