| Date of birth: | Apr 27, 1941 |
| Hair: | Gray |
| Eyes: | Brown |
| Booking number: | 2011009029 |
| Booking date: | Jul 11, 2011 |
| Booking location: | Manatee County, FL |
| Statute: | 741.31-4A |
| Seq: | 1 |
| Released date: | Jul 25, 2011 |
| Obts: | 4104012904 |
| Description: | VIOL INJUNCT DOMESTIC VIO / DOMESTIC |
| Date arrest: | Jul 11, 2011 |
| Charge: | VIOL INJUNCT DOMESTIC VIO |
| Book date: | Jul 11, 2011 |
| Book: | 2011009029 |
| Bond amount: | $25,000 |
