| Date of birth: | Mar 18, 1940 |
| Obts: | 5002222985 |
| Jacket number: | 0428253 |
| Holds for other agencies: | No |
| Facility: | OWN RECOGNIZANCE |
| Arresting agency: | 54-JUPITER |
| Booking number: | 2011055349 |
| Booking date: | Dec 9, 2011 |
| Release date: | Dec 10, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | BATTERY - TOUCH OR STRIKE |
| Charge number: | 784.03-2560 |
| Bond amount: | $0 |