| Date of birth: | Apr 29, 1990 |
| Hair: | Brown |
| Eyes: | Blue |
| Docket no: | 1464014 |
| Complexion: | XXX |
| Birth place: | WY |
| Arrest date: | Jul 25, 2011 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 509.143/M |
| Offense description: | DISORDERLY CONDUCT (LICENSED ESTABLISHMENT) |
| Obts: | 5207120751 |
| Court case: | CTC1118046MMANO |
| Charge number: | 1 |
| Agency report number: | CW11089147 |