| Date of birth: | Jul 20, 1915 |
| Hair: | White |
| Eyes: | Brown |
| Docket no: | 1341953 |
| Complexion: | MED |
| Birth place: | PA |
| Arrest date: | Feb 17, 2009 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY - SIMPLE |
| Obts: | 5207063171 |
| Court case: | CTC0904319MMANO |
| Charge number: | 1 |
| Agency report number: | SO09038332 |