| Date of birth: | Jul 11, 1955 |
| Ethnicity: | H |
| Hair: | White |
| Eyes: | Brown |
| Street number: | 620 |
| Incident number: | 200700002268 |
| Hand use: | R |
| Direction prefix: | SW |
| Cid number: | 000000039374 |
| Build: | MED |
| Birth place: | CC |
| Booking date: | Nov 3, 2007 |
| Release date: | Nov 3, 2007 |
| Booking location: | Hardee County, FL |
| Statute: | 775.13 |
| Reference number: | 2501021406 |
| Incident agency: | HCSO |
| Description: | Criminal Registration (not An Arrest)/co |
| Bond amount: | $0 |
| Arrest officer: | HCSO D/D J. Castillo |