| Date of birth: | Mar 16, 1959 |
| Hair: | Brown |
| Eyes: | Blue |
| Docket no: | 1378968 |
| Complexion: | MED |
| Birth place: | NY |
| Arrest date: | Nov 2, 2009 |
| Arresting agency: | TREASURE ISLAND POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY/DOMESTIC |
| Obts: | 5206059828 |
| Court case: | CTC0931759MMANO |
| Charge number: | 1 |
| Agency report number: | TI09014974 |