| Date of birth: | Dec 14, 1958 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 208 |
| Incident number: | 201500000720 |
| Hand use: | R |
| Cid number: | 000000084441 |
| Build: | MED |
| Birth place: | TX |
| Booking date: | Jun 23, 2015 |
| Release date: | Jun 23, 2015 |
| Booking location: | Hardee County, FL |
| Warrant: | 20150378 |
| Statute: | 843.02 |
| Reference number: | 2501034273 |
| Incident agency: | HCSO |
| Description: | Resist Officer/obstruct Wo Violence |
| Charge degree: | 1 |
| Case number: | 15MM0273 |
| Bond amount: | $500 |
| Arrest officer: | H.C.S.O. D/S Lake |