| Date of birth: | Oct 20, 1957 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 422 |
| Incident number: | 201500000760 |
| Hand use: | R |
| Cid number: | 000000084538 |
| Build: | LAR |
| Birth place: | HT |
| Booking date: | Jul 3, 2015 |
| Booking location: | Hardee County, FL |
| Statute: | 322.03(1) |
| Reference number: | 2501034314 |
| Incident agency: | FHP |
| Description: | NO VALID DRIVERS LICENSE |
| Charge degree: | 2 |
| Bond amount: | $250 |
| Arrest officer: | FHP Tpr Brelsford |