| Date of birth: | Nov 21, 1963 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 632 |
| Incident number: | 201100001655 |
| Hand use: | R |
| Cid number: | 000000061687 |
| Build: | MED |
| Birth place: | MM |
| Booking date: | Nov 26, 2011 |
| Release date: | Nov 26, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 322.03.5 |
| Reference number: | 2501029084 |
| Incident agency: | FHP |
| Description: | Nonmoving Traffic Viol/drive With Expire |
| Charge degree: | 2 |
| Case number: | 11-1001ct |
| Bond amount: | $250 |
| Arrest officer: | FHP Trp Cruz |