| Date of birth: | Aug 13, 1932 |
| Ethnicity: | W |
| Hair: | Gray |
| Eyes: | Blue |
| Street number: | 315 |
| Incident number: | 201400001230 |
| Hand use: | R |
| Cid number: | 000000068674 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Sep 16, 2014 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501033093 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $500 |
| Arrest officer: | HCSO D/S R. Abbott |