| Date of birth: | Aug 13, 1923 |
| Hair: | Gray |
| Eyes: | Blue |
| Pin: | 0100208276 |
| Obts: | 5801159072 |
| Id number: | 1185 |
| Employer: | RETIRED |
| Birth place: | CHICAGO |
| Arresting agency: | FL0580000 |
| Arrest date: | Nov 29, 2010 |
| Arrest location: | 2020 MAIN ST |
| Arrest officer: | D'ANGELO,THOMAS ALAN |
| Booking number: | 201000016122 |
| Booking date: | Nov 30, 2010 |
| Release date: | Nov 29, 2010 |
| Booking location: | Sarasota County, FL |
| Statute: | 775.13 |
| Charge description: | CRIMINAL REGISTRATION (NOT AN ARREST): |
| Bond amount: | $0 |