| Date of birth: | Jul 10, 1974 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 1285 |
| Incident number: | 201100001520 |
| Hand use: | R |
| Cid number: | 000000019930 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Oct 30, 2011 |
| Release date: | Oct 30, 2011 |
| Booking location: | Hardee County, FL |