| Date of birth: | Mar 3, 1952 |
| Ethnicity: | H |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 312 |
| Incident number: | 201000001092 |
| Hand use: | R |
| Cid number: | 000000059488 |
| Build: | THN |
| Birth place: | PU |
| Booking date: | Aug 1, 2010 |
| Release date: | Aug 1, 2010 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501026912 |
| Incident agency: | WPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 10-517mm |
| Bond amount: | $500 |
| Arrest officer: | WPD Cpl. Brock |