| Date of birth: | Oct 6, 1966 |
| Ethnicity: | W |
| Hair: | Blond |
| Eyes: | Blue |
| Street number: | 4626 |
| Incident number: | 200900001951 |
| Hand use: | L |
| Cid number: | 000000055639 |
| Build: | LAR |
| Birth place: | WV |
| Booking date: | Dec 13, 2009 |
| Release date: | Dec 13, 2009 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501025871 |
| Incident agency: | BGPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 09-823mm |
| Bond amount: | $25,000 |
| Arrest officer: | B.G.P.D. Ofc. Arnold |