| Date of birth: | May 20, 1942 |
| Hair: | Grey |
| Eyes: | Hazel |
| Residency: | Resident |
| Marital status: | Married |
| Juvenile: | No |
| Employment: | PAINTER |
| Employer school: | GENE SMITH PAINTING |
| Education: | 12TH |
| Citizen: | Y |
| Birth place: | SYRACUSE, NY |
| Booking location: | Charlotte County, FL |
| Statute description: | SIMPLE BATTERY (DOMESTIC) |
| Statute: | 784.03 1a1 |
| Offense date: | Oct 19, 2004 |
| Oca number: | 04026220 |
| Obts number: | 0801017944 |
| Level: | F |
| Depositer name: | MCGINNIS, PATRICK D |
| Court date: | Nov 3, 2004 |
| Charge: | M |
| Bond amount: | $1,000 |
| Bond agency: | MCGINNIS BAIL BONDS |
| Arresting officer: | BARAS, CHRISTOPHER |
| Arrest location: | 2289 DALLAS ST |
| Agency: | FL0080000 |
