| Date of birth: | Dec 2, 1963 |
| Ethnicity: | W |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 1521 |
| Incident number: | 201100001631 |
| Hand use: | R |
| Direction prefix: | N |
| Cid number: | 000000042153 |
| Build: | LAR |
| Birth place: | MM |
| Booking date: | Nov 20, 2011 |
| Release date: | Nov 21, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 316.027.1a |
| Reference number: | 2501029070 |
| Incident agency: | FHP |
| Description: | Hit And Run/fail To Stop Remain At Crash |
| Charge degree: | 3 |
| Case number: | 11-401CF |
| Bond amount: | $1,000 |
| Arrest officer: | FHP Tpr Cruz |
| Statute: | 316.061.1 |
| Reference number: | 2501029070 |
| Incident agency: | FHP |
| Description: | Hit And Run/leave Scene Of Crash Involve |
| Charge degree: | 2 |
| Case number: | 11-401CF |
| Bond amount: | $250 |
| Arrest officer: | FHP Tpr. Cruz |
| Statute: | 316.061.1 |
| Reference number: | 2501029070 |
| Incident agency: | FHP |
| Description: | Hit And Run/leave Scene Of Crash Involve |
| Charge degree: | 2 |
| Case number: | 11-401CF |
| Bond amount: | $0 |
| Arrest officer: | FHP Tpr Cruz |