| Date of birth: | Dec 3, 1942 |
| Hair: | Gray |
| Eyes: | Hazel |
| Booking number: | 2012012726 |
| Booking date: | Nov 5, 2012 |
| Booking location: | Manatee County, FL |
| Statute: | 784.03-1A1 |
| Seq: | 1 |
| Obts: | 4105043779 |
| Description: | BATTERY - TOUCH OR STRIKE-SIMPLE |
| Date arrest: | Nov 5, 2012 |
| Book date: | Nov 5, 2012 |
| Book: | 2012012726 |
| Bond amount: | $750 |