| Date of birth: | Jun 2, 1954 |
| Ethnicity: | H |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 4621 |
| Incident number: | 201600001061 |
| Hand use: | R |
| Cid number: | 000000030813 |
| Build: | MED |
| Birth place: | SI |
| Booking date: | Oct 2, 2016 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2502000444 |
| Incident agency: | BGPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $0 |
| Arrest officer: | BG Guthas |
