| Date of birth: | Sep 27, 1923 |
| Hair: | White |
| Eyes: | Blue |
| Residency: | MARCO ISLAND, FL 34145 |
| Pin: | 0000762092 |
| Bond amount: | $1,250 |
| Age at arrest: | 80 |
| Arresting agency: | MPD |
| Booking number: | 200400015809 |
| Booking date: | Sep 22, 2004 |
| Booking location: | Collier County, FL |
| Offense: | DUI ALCOHOL OR DRUGS 1ST OFF |
| Court date: | Oct 21, 2004 |
| Count: | 001 |
| Charged: | 09/23/2004 |
| Case number: | 04-13499MMA |