| Date of birth: | Aug 31, 1970 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 2658 |
| Incident number: | 201300000738 |
| Hand use: | R |
| Cid number: | 000000075568 |
| Build: | MED |
| Birth place: | MI |
| Booking date: | Jul 5, 2013 |
| Release date: | Jul 5, 2013 |
| Booking location: | Hardee County, FL |
| Statute: | 775.13 |
| Reference number: | 2501031324 |
| Incident agency: | HCSO |
| Description: | Criminal Registration (not An Arrest)/co |
| Bond amount: | $0 |
| Arrest officer: | Detention |