| Date of birth: | Oct 10, 1933 |
| Ethnicity: | W |
| Hair: | White |
| Eyes: | Brown |
| Street number: | 408 |
| Incident number: | 200800001619 |
| Hand use: | L |
| Direction prefix: | E |
| Cid number: | 000000044826 |
| Build: | THN |
| Birth place: | FL |
| Booking date: | Jul 28, 2008 |
| Release date: | Jul 28, 2008 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501023182 |
| Incident agency: | WPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 08-559mm |
| Bond amount: | $500 |
| Arrest officer: | WPD Cpl. Bohanan |