| Date of birth: | Dec 6, 1955 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 1529 |
| Incident number: | 201100001320 |
| Hand use: | R |
| Cid number: | 000000013599 |
| Build: | LAR |
| Birth place: | FL |
| Booking date: | Sep 14, 2011 |
| Release date: | Sep 15, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 322.34(2) |
| Reference number: | 2501028783 |
| Incident agency: | WPD |
| Description: | DWLSR W/ KNOWLEDGE |
| Charge degree: | 2 |
| Bond amount: | $250 |
| Arrest officer: | WPD Ofc. Corwin |
