| Date of birth: | Dec 12, 1945 |
| Hair: | Blond |
| Eyes: | Blue |
| Docket no: | 1336210 |
| Complexion: | XXX |
| Birth place: | NJ |
| Arrest date: | Jan 7, 2009 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | DOMESTIC BATTERY |
| Obts: | 5206041793 |
| Court case: | CTC0900483MMANO |
| Charge number: | 1 |
| Agency report number: | SO09004687 |