| Date of birth: | Jun 21, 1943 |
| Hair: | Gray |
| Eyes: | Blue |
| Docket no: | 1188673 |
| Complexion: | FAR |
| Birth place: | IN |
| Arrest date: | Apr 26, 2006 |
| Arresting agency: | PINELLAS PARK POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 999999-04 |
| Offense description: | POLK CO #811009455CA-NON SUPP $7415.25 PGE |
| Obts: | 5202115222 |
| Court case: | CTCAB52502MMANO |
| Charge number: | 1 |
| Agency report number: | PP06012379 |