| Date of birth: | Mar 12, 1927 |
| Hair: | Grey |
| Eyes: | Hazel |
| Residency: | Resident |
| Marital status: | Divorced |
| Juvenile: | No |
| Employment: | 01 UNEMPLOYED |
| Employer school: | RETIRED |
| Education: | 12 |
| Citizen: | Y |
| Birth place: | IL |
| Booking location: | Charlotte County, FL |
| Statute description: | DOMESTIC BATTERY |
| Statute: | 784.03 1a1 |
| Offense date: | Dec 28, 2000 |
| Oca number: | 00034908 |
| Obts number: | 9035625 |
| Level: | F |
| Court date: | Jan 10, 2001 |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | MORRIS, CHRISTIAN |
| Arrest location: | 21028 CHURON AVE |
| Agency: | FL0080000 |