| Date of birth: | Oct 5, 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| Docket no: | 1378851 |
| Complexion: | FAR |
| Birth place: | OK |
| Arrest date: | Nov 2, 2009 |
| Arresting agency: | KENNETH CITY POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | FELONY |
| Statute: | 784.03/FD |
| Offense description: | DOMESTIC BATT ON PERSON 65 YRS OF AGE/OLDER |
| Obts: | 5207081700 |
| Court case: | CRC0923745CFANO |
| Charge number: | 1 |
| Agency report number: | KC09004272 |