| Date of birth: | Jun 16, 1988 |
| Ethnicity: | W |
| Hair: | Blond |
| Eyes: | Green |
| Street number: | 5298 |
| Incident number: | 201100000111 |
| Hand use: | L |
| Cid number: | 000000061964 |
| Build: | STC |
| Birth place: | FL |
| Booking date: | Jan 19, 2011 |
| Release date: | Jan 19, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 775.13 |
| Reference number: | 2501027681 |
| Incident agency: | HCSO |
| Description: | Criminal Registration (not An Arrest)/co |
| Bond amount: | $0 |
| Arrest officer: | H.C.S.O. |