| Date of birth: | Feb 23, 1964 |
| Ethnicity: | W |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 3598 |
| Incident number: | 201500001042 |
| Hand use: | R |
| Cid number: | 000000011426 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Sep 19, 2015 |
| Release date: | Sep 21, 2015 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501034614 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $1,000 |
| Arrest officer: | HCSO D/S Hall |