| Date of birth: | Aug 17, 1950 |
| Ethnicity: | W |
| Hair: | White |
| Eyes: | Green |
| Street number: | 3221 |
| Incident number: | 201100000758 |
| Hand use: | R |
| Cid number: | 000000063954 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | May 11, 2011 |
| Release date: | May 11, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 812.014.3a |
| Reference number: | 2501028267 |
| Incident agency: | HCSO |
| Description: | Larc/petit 1st Off |
| Charge degree: | 2 |
| Case number: | 11-305mm |
| Bond amount: | $250 |
| Arrest officer: | HCSO D/S Adler |
