| Date of birth: | Sep 1, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1379992 |
| Complexion: | MED |
| Birth place: | OK |
| Arrest date: | Nov 10, 2009 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY - STRIKE OR TOUCH/DOMESTIC |
| Obts: | 5207082227 |
| Court case: | CTC0932485MMANO |
| Charge number: | 1 |
| Bond assessed: | $1,500 |
| Bond amount: | $0 |
| Agency report number: | CW09114119 |