| Date of birth: | Jan 6, 1952 |
| Hair: | Grey |
| Eyes: | Brown |
| Residency: | Resident |
| Marital status: | Single |
| Juvenile: | No |
| Employment: | UNEMPLOYED |
| Education: | 12 |
| Dl number: | R500828520060 |
| Citizen: | Y |
| Birth place: | OHIO |
| Apt unit: | C119 |
| Booking location: | Charlotte County, FL |
| Statute description: | AGGRAV BATTERY / ON PERSON 65 YEARS OF AGE OR OLDER |
| Statute: | 784.08 2a |
| Offense date: | Nov 22, 2011 |
| Oca number: | 1111-013157/11-2168F |
| Obts number: | 0803076868 |
| Level: | F |
| Charge: | F |
| Arresting officer: | BRIAN GEYER |
| Arrest location: | 22332 VICK ST UNIT C119 |
| Agency: | FL0080000 |
