| Date of birth: | Sep 6, 1942 |
| Hair: | Gray |
| Eyes: | Hazel |
| Docket no: | 1323160 |
| Complexion: | MED |
| Birth place: | IL |
| Arrest date: | Sep 26, 2008 |
| Arresting agency: | INDIAN SHORES POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | DOMESTIC BATTERY |
| Obts: | 5207053832 |
| Court case: | CTC0827246MMANO |
| Charge number: | 1 |
| Agency report number: | IS08003866 |