| Date of birth: | Nov 22, 1963 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Black |
| Street number: | 692 |
| Incident number: | 200900001460 |
| Hand use: | R |
| Cid number: | 000000016720 |
| Build: | HVY |
| Birth place: | FL |
| Booking date: | Sep 8, 2009 |
| Release date: | Sep 8, 2009 |
| Booking location: | Hardee County, FL |