| Date of birth: | Dec 7, 1948 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street suffix: | St |
| Street number: | 330 |
| Street name: | Fifth |
| Incident number: | 201200001431 |
| Hand: | L |
| Direction suffix: | E |
| Cid number: | 000000014192 |
| Build: | SML |
| Birth place: | MO |
| Booking date: | Dec 6, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 893.13.6a~1 |
| Reference number: | 2501030551 |
| Incident agency: | DTF |
| Description: | Drugs-possess/cntrl Sub Wo Prescription |
| Charge degree: | 3 |
| Bond amount: | $250 |
| Arrest officer: | Drug Task Force |
| Statute: | 893.147.1 |
| Reference number: | 2501030551 |
| Incident agency: | DTF |
| Description: | Narcotic Equip-possess/and Or Use |
| Charge degree: | 1 |
| Bond amount: | $250 |
| Arrest officer: | Drug Task Force |