| Date of birth: | Dec 22, 1959 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 122 |
| Incident number: | 200700002004 |
| Hand use: | R |
| Cid number: | 000000015142 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Sep 28, 2007 |
| Release date: | Dec 5, 2007 |
| Booking location: | Hardee County, FL |
| Statute: | 948.06 |
| Reference number: | 1401015106 |
| Incident agency: | HCSO |
| Description: | Prob Violation/or Commty Cont Re Unk/fel |
| Case number: | 03-102MM |
| Bond amount: | $0 |
| Arrest officer: | H.C.S.O. D/S Williams |