| Date of birth: | Mar 6, 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| Docket no: | 1223629 |
| Complexion: | FAR |
| Birth place: | VA |
| Arrest date: | Dec 6, 2006 |
| Arresting agency: | GULFPORT POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY SIMPLE/DOMESTIC |
| Obts: | 5205136899 |
| Court case: | CTC0634683MMANO |
| Charge number: | 1 |
| Agency report number: | GP06002855 |