| Date of birth: | Sep 1, 1932 |
| Hair: | White |
| Eyes: | Blue |
| Docket no: | 1170566 |
| Complexion: | LGT |
| Birth place: | FL |
| Arrest date: | Jan 2, 2006 |
| Arresting agency: | TREASURE ISLAND POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | DOMESTIC SIMPLE BATTERY |
| Obts: | 5202108485 |
| Court case: | CTC0600101MMANO |
| Charge number: | 1 |
| Agency report number: | TI06000059 |