| Date of birth: | Jan 1, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Photo date: | May 1, 2004 |
| Id number: | 200650 |
| Arrest date: | May 1, 2004 |
| Booking number: | 340987 |
| Release date: | May 1, 2004 |
| Booking location: | Lee County, FL |
| Type: | Misdemeanor |
| Description: | ASSLT INTENT THREAT TO DO VIOLENCE |
| Court: | County Court |
| Case number: | BK-340987 |
| Agency: | FMPD |