| Date of birth: | Jul 13, 1955 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 4621 |
| Incident number: | 200900000019 |
| Hand use: | R |
| Cid number: | 000000033896 |
| Build: | SML |
| Birth place: | MM |
| Booking date: | Jan 3, 2009 |
| Release date: | Jan 3, 2009 |
| Booking location: | Hardee County, FL |