| Date of birth: | Sep 27, 1951 |
| Ethnicity: | H |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 990 |
| Incident number: | 201300000101 |
| Hand use: | R |
| Direction prefix: | NE |
| Cid number: | 000000073507 |
| Build: | MED |
| Birth place: | CC |
| Booking date: | Jan 30, 2013 |
| Booking location: | Hardee County, FL |