| Date of birth: | Dec 18, 1944 |
| Ethnicity: | W |
| Hair: | Gray |
| Eyes: | Hazel |
| Street number: | 5186 |
| Incident number: | 200700001668 |
| Hand use: | L |
| Cid number: | 000000037911 |
| Build: | LAR |
| Birth place: | PA |
| Booking date: | Aug 16, 2007 |
| Release date: | Aug 16, 2007 |
| Booking location: | Hardee County, FL |
| Warrant: | 07000276cfma |
| Statute: | 839.13.2c |
| Reference number: | 2501020945 |
| Incident agency: | HCSW |
| Description: | Public Order Crimes/alter Destr Dcfs Or |
| Charge degree: | 3 |
| Bond amount: | $1,000 |
| Arrest officer: | HCSO D/S J Marble |