| Date of birth: | Jan 17, 1936 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| Teeth: | Dentures |
| Photo number: | 11S057H9 |
| Moustache: | Unshaven |
| Inmate number: | 1801027167 |
| Employment: | Retired |
| Build: | Slender/thin/slight |
| Birth place: | BORUM |
| Beard: | Thin Beard |
| Arresting agency: | Flagler County Sheriff's Office |
| Booking number: | 2009-00001465 |
| Booking date: | Jun 21, 2009 |
| Release reason: | Posted Bond |
| Booking location: | Flagler County, FL |
| Statute: | 784.03dv |
| Desc: | Battery Domestic Violence |
| Bond amount: | $250 |
| Statute: | 843.01 |
| Desc: | Resist Arrest With Violence |
| Bond amount: | $250 |
