| Date of birth: | 1922 |
| Hair: | Gray |
| Eyes: | Brown |
| Permanent id: | HCSO05MNI024914 |
| Booking number: | HCSO05JBN106782 |
| Booking date: | Jul 5, 2004 |
| Booking location: | Highlands County, FL |
| Released: | 7/6/2004 at 2:51 PM |
| Mni: | HCSO05MNI024914 |
| Fsn: | 784.03 ( ) |
| Counts: | 1 |
| Case number: | 04-07-0391 |
| Booking: | HCSO05JBN106782 |
| Booked: | 7/5/2004 at 2:51 PM |
| Agency: | so |