| Date of birth: | Mar 30, 1975 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Blue |
| Street number: | 216 |
| Incident number: | 201200000879 |
| Hand use: | L |
| Cid number: | 000000047596 |
| Build: | LAR |
| Birth place: | FL |
| Booking date: | Jul 19, 2012 |
| Release date: | Jul 19, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501030032 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 12-460MM |
| Bond amount: | $500 |
| Arrest officer: | HCSO Sgt. Hart |