| Date of birth: | Dec 16, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1436843 |
| Complexion: | LGT |
| Birth place: | VA |
| Arrest date: | Jan 2, 2011 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03/M |
| Offense description: | BATTERY / DOMESTIC |
| Obts: | 5207108940 |
| Court case: | CTC1100141MMANO |
| Charge number: | 1 |
| Agency report number: | CW11000695 |