| Date of birth: | Jul 2, 1952 |
| Ethnicity: | W |
| Hair: | White |
| Eyes: | Brown |
| Street number: | 2568 |
| Incident number: | 201200000939 |
| Hand use: | R |
| Cid number: | 000000070626 |
| Build: | MED |
| Birth place: | TX |
| Booking date: | Jul 31, 2012 |
| Release date: | Jul 31, 2012 |
| Booking location: | Hardee County, FL |
| Warrant: | 20120477 |
| Statute: | 901.31 |
| Reference number: | 2501030086 |
| Incident agency: | HCSO |
| Description: | Failure To Appear/written Promise To App |
| Case number: | 12-441CT |
| Bond amount: | $0 |
| Arrest officer: | H.C.S.O. D/S E. Harrison |