| Date of birth: | May 18, 1981 |
| Hair: | Blond |
| Eyes: | Brown |
| Docket no: | 1455488 |
| Complexion: | LGT |
| Birth place: | FL |
| Arrest date: | May 22, 2011 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY/DOMESTIC |
| Obts: | 5207117042 |
| Court case: | CTC1112458MMANO |
| Charge number: | 1 |
| Agency report number: | CW11059794 |