| Date of birth: | Dec 29, 1972 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 207 |
| Incident number: | 201200001132 |
| Hand use: | R |
| Cid number: | 000000019367 |
| Build: | MED |
| Birth place: | IN |
| Booking date: | Sep 22, 2012 |
| Release date: | Sep 22, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 775.13 |
| Reference number: | 2501030268 |
| Incident agency: | HCSO |
| Description: | Criminal Registration (not An Arrest)/co |
| Bond amount: | $0 |
| Arrest officer: | Hcso |
