| Date of birth: | Feb 14, 1960 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 637 |
| Incident number: | 201600000962 |
| Hand use: | R |
| Cid number: | 000000040009 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Sep 2, 2016 |
| Release date: | Sep 2, 2016 |
| Booking location: | Hardee County, FL |
| Statute: | 775.13 |
| Reference number: | 2502000334 |
| Incident agency: | HCSO |
| Description: | Criminal Registration (not An Arrest)/co |
| Bond amount: | $0 |
| Arrest officer: | Detention |
