| Date of birth: | Jan 28, 1948 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 525 |
| Incident number: | 201100000951 |
| Hand use: | R |
| Cid number: | 000000038614 |
| Build: | LAR |
| Birth place: | FL |
| Booking date: | Jun 20, 2011 |
| Release date: | Jun 20, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501028446 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 11-392mm |
| Bond amount: | $0 |
| Arrest officer: | HCSO D/S Sgt. M. Tinsley |
