| Date of birth: | Jan 11, 1981 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Hazel |
| Street number: | 3208 |
| Incident number: | 200900001481 |
| Hand use: | R |
| Cid number: | 000000025489 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Sep 13, 2009 |
| Release date: | Oct 12, 2009 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501025424 |
| Incident agency: | WPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 09-625mm |
| Bond amount: | $0 |
| Arrest officer: | WPD PTl Guthas |