| Date of birth: | Feb 15, 1947 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Black |
| Street number: | 510 |
| Incident number: | 200700000313 |
| Hand use: | L |
| Cid number: | 000000024620 |
| Build: | MED |
| Birth place: | TX |
| Booking date: | Feb 23, 2007 |
| Release date: | Feb 23, 2007 |
| Booking location: | Hardee County, FL |
| Statute: | 837.05.1 |
| Reference number: | 2501019830 |
| Incident agency: | HCSO |
| Description: | Making False Report/knowingly Give False |
| Charge degree: | 1 |
| Case number: | 07000105mm |
| Bond amount: | $500 |
| Arrest officer: | d/s marble |