| Date of birth: | Dec 31, 1946 |
| Ethnicity: | W |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 635 |
| Incident number: | 201500001066 |
| Hand use: | R |
| Direction prefix: | S |
| Cid number: | 000000085520 |
| Build: | LAR |
| Birth place: | CB |
| Booking date: | Sep 27, 2015 |
| Release date: | Sep 28, 2015 |
| Booking location: | Hardee County, FL |
| Statute: | 322.34(2) |
| Reference number: | 2501034635 |
| Incident agency: | HCSO |
| Description: | DWLSR W/ KNOWLEDGE |
| Charge degree: | 2 |
| Bond amount: | $0 |
| Arrest officer: | TPR Davis |