| Date of birth: | Aug 14, 1918 |
| Hair: | Gray |
| Eyes: | Blue |
| Docket no: | 1201101 |
| Complexion: | FAR |
| Birth place: | NY |
| Arrest date: | Jul 13, 2006 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY/DOMESTIC |
| Obts: | 5205124106 |
| Court case: | CTC0619913MMANO |
| Charge number: | 1 |
| Agency report number: | SO06194260 |