| Date of birth: | May 4, 1932 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | RETIRED |
| Education: | GED |
| Dl number: | G260676321640 |
| Citizen: | Y |
| Birth place: | VT |
| Apt unit: | A |
| Booking location: | Charlotte County, FL |
| Statute description: | CRIMINAL REGISTRATION/BATT/TAMPER W/WITNESS |
| Statute: | CRM-1 |
| Offense date: | Aug 29, 2001 |
| Obts number: | 9039064 |
| Bond amount: | $0 |
| Arresting officer: | SHERKUS, TRISTA |
| Arrest location: | CCSO JAIL |
| Agency: | FL0080000 |