| Date of birth: | Aug 1, 1973 |
| Ethnicity: | W |
| Hair: | Gray |
| Eyes: | Green |
| Street number: | 5172 |
| Incident number: | 200900001444 |
| Hand use: | R |
| Cid number: | 000000053999 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Sep 4, 2009 |
| Release date: | Sep 4, 2009 |
| Booking location: | Hardee County, FL |