| Date of birth: | Aug 20, 1946 |
| Hair: | Brown |
| Eyes: | Blue |
| Residency: | BELLEVILLE, IL 62223 |
| Pin: | 0000756213 |
| Bond amount: | $10,000 |
| Age at arrest: | 57 |
| Arresting agency: | NPD |
| Booking number: | 200400013174 |
| Booking date: | Aug 6, 2004 |
| Booking location: | Collier County, FL |
| Offense: | ASSAULT |
| Court date: | Sep 2, 2004 |
| Count: | 001 |
| Charged: | 08/06/2004 |
| Case number: | 04-11570MMA |