| Date of birth: | Mar 11, 1981 |
| Ethnicity: | H |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 202 |
| Incident number: | 201200001034 |
| Hand use: | R |
| Direction prefix: | E |
| Cid number: | 000000027429 |
| Build: | LAR |
| Birth place: | FL |
| Booking date: | Aug 24, 2012 |
| Release date: | Aug 24, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 901.04 |
| Reference number: | 2501030179 |
| Incident agency: | WPD |
| Description: | Out Of County Warrant |
| Case number: | 12-2689MM |
| Bond amount: | $2,000 |
| Arrest officer: | WPD Ptl. J. Corwin |