| Date of birth: | Mar 2, 1948 |
| Ethnicity: | B |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 356 |
| Incident number: | 201300000559 |
| Hand use: | R |
| Cid number: | 000000025240 |
| Build: | THN |
| Birth place: | TN |
| Booking date: | Jun 1, 2013 |
| Release date: | Jun 3, 2013 |
| Booking location: | Hardee County, FL |
| Statute: | 316.061.1 |
| Reference number: | 2501031151 |
| Incident agency: | WPD |
| Description: | Hit And Run/leave Scene Of Crash Involve |
| Charge degree: | 1 |
| Bond amount: | $500 |
| Arrest officer: | WPD Ptl. Cruz |