| Date of birth: | May 1, 1946 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Blue |
| Street number: | 3691 |
| Incident number: | 201000001371 |
| Hand use: | L |
| Direction prefix: | NE |
| Cid number: | 000000060198 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Sep 25, 2010 |
| Release date: | Sep 26, 2010 |
| Booking location: | Hardee County, FL |