| Date of birth: | Jan 17, 1957 |
| Ethnicity: | W |
| Hair: | Xxx |
| Eyes: | Blue |
| Street suffix: | Rd |
| Street number: | 157 |
| Street name: | Will Duke |
| Incident number: | 201200001116 |
| Hand: | R |
| Cid number: | 000000044375 |
| Build: | MED |
| Birth place: | FL |
| Apartment: | 2 |
| Booking date: | Sep 17, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 810.09.2b |
| Reference number: | 2501030257 |
| Incident agency: | WPD |
| Description: | Trespassing/fail To Leave Property Upon |
| Charge degree: | 1 |
| Bond amount: | $0 |
| Arrest officer: | WPD Ptl. Wyatt |