| Date of birth: | Sep 8, 1970 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 3543 |
| Incident number: | 201100001258 |
| Hand use: | R |
| Cid number: | 000000065687 |
| Build: | HVY |
| Birth place: | FL |
| Booking date: | Sep 1, 2011 |
| Release date: | Sep 1, 2011 |
| Booking location: | Hardee County, FL |