| Date of birth: | Jun 21, 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1433086 |
| Complexion: | MED |
| Birth place: | NY |
| Arrest date: | Dec 1, 2010 |
| Arresting agency: | TARPON SPRINGS POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 901.36(1)/M |
| Offense description: | PROV FALSE NAME OR ID TO LEO |
| Obts: | 5206083924 |
| Court case: | CTC1032562MMANO |
| Charge number: | 1 |
| Bond assessed: | $150 |
| Bond amount: | $0 |
| Agency report number: | TS10003878 |