| Date of birth: | May 14, 1969 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 996 |
| Incident number: | 201100000610 |
| Hand use: | R |
| Cid number: | 000000063421 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Apr 15, 2011 |
| Release date: | Apr 15, 2011 |
| Booking location: | Hardee County, FL |