| Date of birth: | Jan 19, 1957 |
| Hair: | Brown |
| Eyes: | Blue |
| Docket no: | 1456036 |
| Complexion: | MED |
| Birth place: | WA |
| Arrest date: | May 26, 2011 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Description: | bird and butterfly on left arm |
| Booking type: | MISDEMEANOR |
| Statute: | 901.36(1)/M |
| Offense description: | PROV FALSE NAME OR ID TO LEO |
| Obts: | 5206094915 |
| Court case: | CTC1112812MMANO |
| Charge number: | 1 |
| Agency report number: | SO11177368 |