| Date of birth: | Oct 11, 1964 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 2555 |
| Incident number: | 201000000090 |
| Hand use: | R |
| Cid number: | 000000056260 |
| Build: | MED |
| Birth place: | NM |
| Booking date: | Jan 21, 2010 |
| Release date: | Jan 23, 2010 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501026045 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Case number: | 10-041mm |
| Bond amount: | $1,000 |
| Arrest officer: | HCSO D/S Lake |