| Date of birth: | Jul 19, 1958 |
| Ethnicity: | W |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 109 |
| Incident number: | 201300000856 |
| Hand use: | R |
| Direction prefix: | N |
| Cid number: | 000000047803 |
| Build: | SML |
| Birth place: | NH |
| Booking date: | Aug 8, 2013 |
| Release date: | Aug 9, 2013 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501031434 |
| Incident agency: | WPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 13MM0371 |
| Bond amount: | $0 |
| Arrest officer: | WPD Smith |