| Date of birth: | Sep 5, 1960 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street suffix: | St |
| Street number: | 902 |
| Street name: | Alabama |
| Incident number: | 201200001350 |
| Hand: | R |
| Cid number: | 000000072416 |
| Build: | MED |
| Birth place: | MX |
| Booking date: | Nov 17, 2012 |
| Release date: | Nov 18, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 856.011 |
| Reference number: | 2501030473 |
| Incident agency: | WPD |
| Description: | Disorderly Intox/disorder Intox Public P |
| Charge degree: | 2 |
| Bond amount: | $250 |
| Arrest officer: | Wauchula PD Ptl Nicholas |