| Date of birth: | Jan 3, 1954 |
| Ethnicity: | W |
| Hair: | Black |
| Eyes: | Green |
| Street number: | 1034 |
| Incident number: | 200700001943 |
| Hand use: | R |
| Cid number: | 000000038575 |
| Build: | LAR |
| Birth place: | GA |
| Booking date: | Sep 19, 2007 |
| Release date: | Sep 21, 2007 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501021145 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 07-000702MM |
| Bond amount: | $0 |
| Arrest officer: | H.C.S.O. D/S Sgt. L.A. Hart |
