| Date of birth: | Oct 25, 1953 |
| Hair: | Brown |
| Eyes: | Hazel |
| Docket no: | 1360518 |
| Complexion: | FAR |
| Birth place: | MO |
| Arrest date: | Jun 28, 2009 |
| Arresting agency: | INDIAN SHORES POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | DOMESTIC BATTERY |
| Obts: | 5207072626 |
| Court case: | CTC0918500MMANO |
| Charge number: | 1 |
| Bond assessed: | $1,000 |
| Bond amount: | $0 |
| Agency report number: | IS09003039 |
