| Date of birth: | Mar 17, 1963 |
| Hair: | Gray |
| Eyes: | Hazel |
| Docket no: | 1436521 |
| Complexion: | LGT |
| Birth place: | KS |
| Arrest date: | Dec 30, 2010 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | DOMESTIC BATTERY |
| Obts: | 5206085573 |
| Court case: | CTC1034808MMANO |
| Charge number: | 1 |
| Bond assessed: | $5,000 |
| Bond amount: | $0 |
| Agency report number: | CW10150514 |