| Date of birth: | Apr 28, 1936 |
| Obts: | 5003301341 |
| Arresting agency: | 01-PBSO |
| Booking number: | 2011001164 |
| Booking date: | Jan 8, 2011 |
| Booking location: | Palm Beach County, FL |
| Description: | AGGRAV BATTERY - CAUSE BODILY HARM OR DISABILITY |
| Charge number: | 784.045-2564 |
| Bond amount: | $25,000 |