| Date of birth: | Oct 23, 1976 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Green |
| Street number: | 1515 |
| Incident number: | 200800000919 |
| Hand use: | R |
| Cid number: | 000000043183 |
| Build: | MED |
| Birth place: | ME |
| Booking date: | Apr 21, 2008 |
| Release date: | Apr 21, 2008 |
| Booking location: | Hardee County, FL |
| Statute: | 943.043 |
| Reference number: | 2501022545 |
| Incident agency: | HCSO |
| Description: | Sex Offender Registration (not An Arrest |
| Arrest officer: | H.C.S.O. J. Shivers |