| Date of birth: | Jan 6, 1921 |
| Hair: | Grey |
| Eyes: | Blue |
| Residency: | Resident |
| Marital status: | Other |
| Juvenile: | No |
| Employment: | SERVER |
| Employer school: | ELKS CLUB |
| Education: | 12TH |
| Dl number: | W160-216-21-506-0 |
| Citizen: | Y |
| Birth place: | GROVE PORT, OH |
| Booking location: | Charlotte County, FL |
| Statute description: | SIMPLE BATTERY (DOMESTIC) |
| Statute: | 784.03 1a1 |
| Offense date: | Jun 5, 2005 |
| Oca number: | 05012732/05839M |
| Obts number: | 0801022566 |
| Level: | F |
| Court date: | Jun 22, 2005 |
| Charge: | M |
| Bond amount: | $0 |
| Arresting officer: | PAUL, GREGORY |
| Arrest location: | 22322 TENNYSON AVE |
| Agency: | FL0080000 |
