| Date of birth: | Nov 2, 1955 |
| Hair: | Gray |
| Eyes: | Hazel |
| Docket no: | 1421110 |
| Complexion: | MED |
| Birth place: | OH |
| Arrest date: | Sep 3, 2010 |
| Arresting agency: | LARGO POLICE DEPT. |
| Booking type: | MISDEMEANOR |
| Statute: | 999999-02 |
| Offense description: | CIR CIV#99104559FD23 FTP CHD SUPP PRG$550 |
| Obts: | 5206078552 |
| Court case: | CTCAB95072MMANO |
| Charge number: | 1 |
| Agency report number: | LA10009799 |