| Date of birth: | Mar 15, 1975 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Blue |
| Street number: | 4235 |
| Incident number: | 201100001523 |
| Hand use: | R |
| Cid number: | 000000066641 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Oct 31, 2011 |
| Release date: | Nov 1, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501028966 |
| Incident agency: | BGPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 11-620mm |
| Bond amount: | $0 |
| Arrest officer: | BGPD Captain Dowden |