| Date of birth: | Dec 5, 1982 |
| Ethnicity: | W |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 63 |
| Incident number: | 201100001424 |
| Hand use: | A |
| Cid number: | 000000049870 |
| Build: | MED |
| Birth place: | NY |
| Booking date: | Oct 9, 2011 |
| Release date: | Oct 9, 2011 |
| Booking location: | Hardee County, FL |