| Date of birth: | Sep 27, 1976 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street suffix: | Ave |
| Street number: | 1915 |
| Street name: | Smith |
| Incident number: | 201200001524 |
| Hand: | R |
| Cid number: | 000000073051 |
| Build: | MED |
| Birth place: | MM |
| Booking date: | Dec 31, 2012 |
| Release date: | Dec 31, 2012 |
| Booking location: | Hardee County, FL |