| Date of birth: | Mar 27, 1948 |
| Hair: | Black |
| Third party agency: | PPD |
| Marital status: | S |
| Case no: | 0000000000 |
| Booking number: | 2011013444 |
| Booking date: | Oct 15, 2011 |
| Booking location: | Manatee County, FL |
| Statute number: | 784.045-1A1 |
| Seq: | 1 |
| Sec chrg: | AGG DOMESTIC BATTERY |
| Fel misd: | F |
| Charge description: | GREAT BODILY HARM/DISABILITY/DISFIG |
| Bond status: | POST |
| Bond amount: | $1,000 |