| Date of birth: | Oct 27, 1945 |
| Hair: | Gray |
| Eyes: | Hazel |
| Docket no: | 1368564 |
| Complexion: | XXX |
| Birth place: | NY |
| Arrest date: | Aug 22, 2009 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY/SIMPLE |
| Court case: | CTC0924390MMANO |
| Charge number: | 1 |
| Bond assessed: | $150 |
| Bond amount: | $0 |
| Agency report number: | SO09199411 |