| Date of birth: | Apr 21, 1977 |
| Ethnicity: | W |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 901 |
| Incident number: | 201300001290 |
| Hand use: | R |
| Direction prefix: | S |
| Cid number: | 000000031076 |
| Build: | STC |
| Birth place: | MM |
| Booking date: | Nov 26, 2013 |
| Release date: | Nov 26, 2013 |
| Booking location: | Hardee County, FL |
| Statute: | 440.105.4b9~3 |
| Reference number: | 2501031835 |
| Incident agency: | FDFS |
| Description: | Fraud/use False Id For Wc Claim Less Tha |
| Charge degree: | 3 |
| Bond amount: | $1,000 |
| Arrest officer: | Det. Gregg Tischler |
| Statute: | 817.568.8a |
| Reference number: | 2501031835 |
| Incident agency: | FDFS |
| Description: | Fraud-imperson/use Possess Personal Id O |
| Charge degree: | 3 |
| Bond amount: | $1,000 |
| Arrest officer: | Det. Gregg Tischler |