| Date of birth: | Oct 1, 1947 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Blue |
| Street number: | 315 |
| Incident number: | 201100001392 |
| Hand use: | R |
| Cid number: | 000000061517 |
| Build: | LAR |
| Birth place: | AL |
| Booking date: | Sep 29, 2011 |
| Release date: | Sep 29, 2011 |
| Booking location: | Hardee County, FL |