| Date of birth: | Nov 22, 1955 |
| Hair: | Gray |
| Eyes: | Brown |
| Docket no: | 1377488 |
| Complexion: | MED |
| Birth place: | CT |
| Arrest date: | Oct 23, 2009 |
| Arresting agency: | PINELLAS PARK POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY (DOMESTIC) |
| Obts: | 5207081050 |
| Court case: | CTC0930791MMANO |
| Charge number: | 1 |
| Agency report number: | PP09029318 |