| Date of birth: | Oct 7, 1958 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 611 |
| Incident number: | 201000001049 |
| Hand use: | R |
| Cid number: | 000000059366 |
| Build: | STC |
| Birth place: | FL |
| Booking date: | Jul 23, 2010 |
| Release date: | Jul 26, 2010 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501026881 |
| Incident agency: | BGPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 10-506mm |
| Bond amount: | $5,000 |
| Arrest officer: | B.G.P.D. Cpl. Ehrenkaufer |