| Date of birth: | Sep 8, 1952 |
| Hair: | Gray |
| Eyes: | Blue |
| Docket no: | 1427649 |
| Complexion: | MED |
| Birth place: | CA |
| Arrest date: | Oct 20, 2010 |
| Arresting agency: | PINELLAS PARK POLICE |
| Booking type: | FELONY |
| Statute: | 784.076/F |
| Offense description: | BATTERY ON HEALTH SERVICE PERSONNEL |
| Obts: | 5206082636 |
| Court case: | CRC1022888CFANO |
| Charge number: | 1 |
| Agency report number: | PP10027663 |