| Date of birth: | Feb 5, 1971 |
| Ethnicity: | W |
| Hair: | Black |
| Eyes: | Brown |
| Street suffix: | Ave |
| Street number: | 4628 |
| Street name: | Maple |
| Incident number: | 201200001275 |
| Hand: | R |
| Cid number: | 000000037293 |
| Build: | HVY |
| Birth place: | MI |
| Booking date: | Oct 28, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501030402 |
| Incident agency: | BGPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $0 |
| Arrest officer: | Cpl. Ehrenkaufer |
