| Date of birth: | Oct 15, 1957 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 1106 |
| Incident number: | 201500000009 |
| Hand use: | R |
| Cid number: | 000000082182 |
| Build: | MED |
| Birth place: | HT |
| Booking date: | Jan 2, 2015 |
| Release date: | Jan 6, 2015 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501033578 |
| Incident agency: | BGPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $5,000 |
| Arrest officer: | BGPD SGT. Coranado |
