| Date of birth: | Nov 25, 1941 |
| Ethnicity: | H |
| Hair: | White |
| Eyes: | Brown |
| Street number: | 1404 |
| Incident number: | 201100001505 |
| Hand use: | R |
| Direction prefix: | SW |
| Cid number: | 000000066533 |
| Build: | SML |
| Birth place: | MM |
| Booking date: | Oct 26, 2011 |
| Release date: | Oct 27, 2011 |
| Booking location: | Hardee County, FL |
| Warrant: | 20110572 |
| Statute: | 901.31 |
| Reference number: | 2501028947 |
| Incident agency: | HCSO |
| Description: | Failure To Appear/written Promise To App |
| Charge degree: | 1 |
| Case number: | 11-03322TR |
| Arrest officer: | HCSO D/S Lake |
