| Date of birth: | Oct 27, 1958 |
| Hair: | Black |
| Eyes: | Brown |
| Docket no: | 1424421 |
| Complexion: | BLK |
| Birth place: | FL |
| Arrest date: | Sep 27, 2010 |
| Arresting agency: | CLEARWATER POLICE |
| Booking type: | MISDEMEANOR |
| Statute: | 999999-02 |
| Offense description: | CIR CIV#91011980CI17 NON SUPP $200.00 PURGE |
| Obts: | 5207103104 |
| Court case: | CTCAB95673MMANO |
| Charge number: | 1 |
| Agency report number: | CW10113669 |