| Date of birth: | Oct 16, 1959 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Hazel |
| Incident number: | 200800001664 |
| Hand use: | R |
| Cid number: | 000000009488 |
| Build: | SML |
| Birth place: | KY |
| Booking date: | Aug 2, 2008 |
| Release date: | Aug 3, 2008 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501023215 |
| Incident agency: | WPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $0 |
| Arrest officer: | W.P.D. CPL. Wyatt |