| Date of birth: | Nov 17, 1974 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 2460 |
| Incident number: | 201000001745 |
| Hand use: | R |
| Cid number: | 000000061250 |
| Build: | MED |
| Birth place: | MM |
| Booking date: | Dec 4, 2010 |
| Release date: | Dec 4, 2010 |
| Booking location: | Hardee County, FL |
| Statute: | 901.36.1 |
| Reference number: | 2501027471 |
| Incident agency: | HCSO |
| Description: | Fraud-imperson/false Id Given To Leo |
| Charge degree: | 1 |
| Case number: | 10-797mm |
| Bond amount: | $500 |
| Arrest officer: | Hcso D/s Medina |