| Date of birth: | Nov 30, 1970 |
| Hair: | Bald |
| Eyes: | Green |
| Docket no: | 1432997 |
| Complexion: | MED |
| Birth place: | OH |
| Arrest date: | Nov 30, 2010 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | FELONY |
| Statute: | 784.03(2)/F |
| Offense description: | BATTERY / DOMESTIC |
| Obts: | 5207107181 |
| Court case: | CRC1025717CFANO |
| Charge number: | 1 |
| Agency report number: | CW10140084 |