| Date of birth: | Apr 14, 1929 |
| Hair: | Gray |
| Eyes: | Blue |
| Docket no: | 1363728 |
| Complexion: | DRK |
| Birth place: | BU |
| Arrest date: | Jul 21, 2009 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | SIMPLE DOMESTIC BATTERY |
| Obts: | 5206053182 |
| Court case: | CTC0920876MMANO |
| Charge number: | 1 |
| Agency report number: | SO09168956 |