| Date of birth: | Oct 14, 1959 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 705 |
| Incident number: | 201000001845 |
| Hand use: | R |
| Direction prefix: | E |
| Cid number: | 000000058381 |
| Build: | MED |
| Birth place: | GA |
| Booking date: | Dec 25, 2010 |
| Release date: | Dec 26, 2010 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501027562 |
| Incident agency: | BGPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 10-839mm |
| Bond amount: | $500 |
| Arrest officer: | BGPD Sgt. Coronado |