| Date of birth: | Jul 18, 1964 |
| Ethnicity: | W |
| Hair: | Blond |
| Eyes: | Green |
| Street number: | 7962 |
| Incident number: | 201100000714 |
| Hand use: | R |
| Cid number: | 000000012552 |
| Build: | THN |
| Birth place: | FL |
| Booking date: | May 3, 2011 |
| Release date: | May 4, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501028226 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 11-289mm |
| Bond amount: | $0 |
| Arrest officer: | H.C.S.O D/S Adler |
