| Date of birth: | Mar 22, 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| Docket no: | 1365622 |
| Complexion: | MED |
| Birth place: | IN |
| Arrest date: | Aug 3, 2009 |
| Arresting agency: | PINELLAS COUNTY SHERIFF |
| Booking location: | Pinellas County, FL |
| Booking type: | MISDEMEANOR |
| Statute: | 784.03(1)/M |
| Offense description: | BATTERY (DOMESTIC) |
| Obts: | 5207075272 |
| Court case: | CTC0922119MMANO |
| Charge number: | 1 |
| Agency report number: | SO09180857 |