| Date of birth: | May 25, 1942 |
| Hair: | Brown |
| Eyes: | Green |
| Spin: | 522747 |
| Inmate location: | CSOD-INTAK-PRO-01-016 |
| Docket no: | 1536572 |
| Complexion: | MED |
| Commissary account balance: | $-19.62 |
| Birth place: | FL |
| Arresting agency: | CLEARWATER POLICE |
| Arrest date: | Feb 15, 2013 |
| Booking date: | Feb 15, 2013 |
| Booking type: | MISDEMEANOR |
| Statute: | 562.11(1)/M |
| Offense description: | SELL/GIVE/SERVE ALCOHOL TO PERSON |
| Obts: | 5206133634 |
| Court case: | CTC1303722MMANO |
| Charge number: | 1 |
| Bond assessed: | $250 |
| Bond amount: | $250 |
| Agency report number: | CW13022989 |