| Date of birth: | Jul 25, 1949 |
| Hair: | Gray |
| Eyes: | Blue |
| Photo date: | Jan 31, 2004 |
| Id number: | 197690 |
| Arrest date: | Jan 31, 2004 |
| Booking number: | 330803 |
| Release date: | Jan 31, 2004 |
| Booking location: | Lee County, FL |
| Type: | Civil |
| Description: | CIVIL-NON CRIM.VIOL |
| Court: | Civil Court |
| Case number: | 018475CA B |
| Agency: | LCSO |