| Date of birth: | Jan 15, 1958 |
| Hair: | Gray |
| Eyes: | Brown |
| Docket no: | 1330519 |
| Complexion: | MED |
| Birth place: | NY |
| Arrest date: | Nov 19, 2008 |
| Arresting agency: | CLEARWATER POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 999999-04 |
| Offense description: | HILLS #019603480 CIR CIV NON SUPP PURGE $18,879 |
| Obts: | 5207057426 |
| Court case: | CTCAB75823MMANO |
| Charge number: | 1 |
| Agency report number: | CW08109209 |