| Date of birth: | Oct 25, 1933 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1350848 |
| Complexion: | LGT |
| Birth place: | CN |
| Arrest date: | Apr 21, 2009 |
| Arresting agency: | TREASURE ISLAND POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | FELONY |
| Statute: | 784.03/F |
| Offense description: | DOMESTIC BATTERY /DISABLED PERSON |
| Obts: | 5206047955 |
| Court case: | CRC0908132CFANO |
| Charge number: | 1 |
| Agency report number: | TI09296067 |