| Date of birth: | Oct 21, 1949 |
| Ethnicity: | W |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 1650 |
| Incident number: | 201000001730 |
| Hand use: | R |
| Direction prefix: | S |
| Cid number: | 000000061165 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Dec 1, 2010 |
| Release date: | Dec 2, 2010 |
| Booking location: | Hardee County, FL |
| Statute: | 741.31.4b |
| Reference number: | 2501027458 |
| Incident agency: | FHP |
| Description: | Contempt Of Court/viol Injunct Domest Vi |
| Charge degree: | 1 |
| Case number: | 10-798MM |
| Bond amount: | $0 |
| Arrest officer: | FHP Cpl Benavidez |