| Date of birth: | Jan 8, 1957 |
| Hair: | Gray |
| Eyes: | Blue |
| Docket no: | 1223552 |
| Birth place: | MI |
| Arrest date: | Dec 5, 2006 |
| Arresting agency: | CLEARWATER POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 999999-02 |
| Offense description: | CIR CIV 91010009CI022 FTP CHILD SUPPORT |
| Obts: | 5205136838 |
| Court case: | CTCAB57150MMANO |
| Charge number: | 1 |
| Agency report number: | CW06030079 |