| Date of birth: | Dec 4, 1942 |
| Hair: | Gray |
| Eyes: | Brown |
| Docket no: | 1351287 |
| Complexion: | MED |
| Birth place: | NY |
| Arrest date: | Apr 25, 2009 |
| Arresting agency: | TREASURE ISLAND POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY/DOMESTIC |
| Obts: | 5207067858 |
| Court case: | CTC0911153MMANO |
| Charge number: | 1 |
| Agency report number: | TI09006168 |