| Date of birth: | Apr 29, 1958 |
| Ethnicity: | W |
| Hair: | Blond |
| Eyes: | Blue |
| Street number: | 70 |
| Incident number: | 200900001898 |
| Hand use: | R |
| Cid number: | 000000055518 |
| Build: | LAR |
| Birth place: | SC |
| Booking date: | Dec 3, 2009 |
| Release date: | Dec 4, 2009 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501025814 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $0 |
| Arrest officer: | H.C.S.O. D/S Ellis |