| Date of birth: | Jan 12, 1937 |
| Ethnicity: | W |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 36 |
| Incident number: | 200700002163 |
| Hand use: | R |
| Cid number: | 000000039096 |
| Build: | LAR |
| Birth place: | FL |
| Booking date: | Oct 20, 2007 |
| Release date: | Oct 20, 2007 |
| Booking location: | Hardee County, FL |
| Statute: | 316.193(1) |
| Reference number: | 2501021321 |
| Incident agency: | FHP |
| Description: | DUI ALCOHOL OR DRUGS |
| Charge degree: | 1 |
| Bond amount: | $500 |
| Arrest officer: | FHP TRP. P. Roberts |
