| Date of birth: | Sep 20, 1970 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 14986 |
| Incident number: | 201500000568 |
| Hand use: | R |
| Direction prefix: | SW |
| Cid number: | 000000083887 |
| Build: | MED |
| Birth place: | CC |
| Booking date: | May 13, 2015 |
| Release date: | May 13, 2015 |
| Booking location: | Hardee County, FL |
| Statute: | 901.04 |
| Reference number: | xxxxxxxxxxxx |
| Incident agency: | FHP |
| Description: | Out Of County Warrant |
| Bond amount: | $430 |
| Arrest officer: | FHP TRP Sackmann |