| Date of birth: | Jan 25, 1968 |
| Hair: | Black |
| Eyes: | Brown |
| Docket no: | 1383333 |
| Complexion: | MED |
| Birth place: | MM |
| Arrest date: | Dec 6, 2009 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 322.03(1)/M |
| Offense description: | NVDL * NCTC 12/30/09 @ 10AM |
| Obts: | 5206061703 |
| Court case: | CTC091925FOMANC |
| Charge number: | 1 |
| Bond assessed: | $250 |
| Bond amount: | $0 |
| Agency report number: | CW09122911 |