| Date of birth: | Jun 13, 1966 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 1210 |
| Incident number: | 200900001758 |
| Hand use: | R |
| Cid number: | 000000055064 |
| Build: | MED |
| Birth place: | MM |
| Booking date: | Nov 7, 2009 |
| Release date: | Nov 8, 2009 |
| Booking location: | Hardee County, FL |
| Statute: | 843.02 |
| Reference number: | 2501025683 |
| Incident agency: | WPD |
| Description: | Resist Officer/obstruct Wo Violence |
| Charge degree: | 1 |
| Case number: | 09-721mm |
| Bond amount: | $500 |
| Arrest officer: | W.P.D. Ptl. Brock |