| Date of birth: | Jan 7, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| Docket no: | 1411927 |
| Complexion: | LGT |
| Birth place: | PA |
| Arrest date: | Jun 30, 2010 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | DOMESTIC BATTERY |
| Obts: | 5207097299 |
| Court case: | CTC1017960MMANO |
| Charge number: | 1 |
| Agency report number: | CW10074385 |