| Date of birth: | Mar 28, 1966 |
| Hair: | Blond |
| Eyes: | Blue |
| Docket no: | 1382370 |
| Complexion: | MED |
| Birth place: | IL |
| Arrest date: | Nov 28, 2009 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 877.03/M |
| Offense description: | DISORDERLY CONDUCT |
| Obts: | 5207083402 |
| Court case: | CTC0934020MMANO |
| Charge number: | 1 |
| Agency report number: | CW09120517 |