| Date of birth: | Jan 28, 1938 |
| Hair: | Gray |
| Eyes: | Blue |
| Booking number: | 2012011772 |
| Booking date: | Oct 11, 2012 |
| Booking location: | Manatee County, FL |
| Statute: | 784.03-1A1 |
| Seq: | 1 |
| Obts: | 4104021367 |
| Description: | BATTERY - TOUCH OR STRIKE-SIMPLE / DOMESTIC |
| Date arrest: | Oct 11, 2012 |
| Charge: | BATTERY - TOUCH OR STRIKE-SIMPLE |
| Book date: | Oct 11, 2012 |
| Book: | 2012011772 |
| Bond amount: | $0 |