| Date of birth: | Oct 7, 1934 |
| Hair: | Sandy |
| Eyes: | Blue |
| Photo date: | Oct 22, 2004 |
| Id number: | 205807 |
| Arrest date: | Oct 22, 2004 |
| Booking number: | 359768 |
| Release date: | Oct 22, 2004 |
| Booking location: | Lee County, FL |
| Type: | Misdemeanor |
| Description: | LARC/LARC PETIT 1ST OFF |
| Court: | County Court |
| Case number: | 04023744MM |
| Agency: | LCSO |