| Date of birth: | Dec 28, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Docket no: | 1222637 |
| Complexion: | LGT |
| Birth place: | MT |
| Arrest date: | Nov 29, 2006 |
| Arresting agency: | CLEARWATER POLICE |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 509.143/M |
| Offense description: | DISORDERLY CONDUCT AT FOOD OR LODGING |
| Obts: | 5205136273 |
| Court case: | CTC0633988MMANO |
| Charge number: | 1 |
| Agency report number: | CW06029576 |