| Date of birth: | Feb 20, 1977 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Brown |
| Street suffix: | Dr |
| Street number: | 218 |
| Street name: | Riverside |
| Incident number: | 201200001242 |
| Hand: | R |
| Cid number: | 000000051693 |
| Build: | MED |
| Birth place: | HT |
| Booking date: | Oct 18, 2012 |
| Release date: | Oct 18, 2012 |
| Booking location: | Hardee County, FL |
| Warrant: | 20120636 |
| Statute: | 784.03.1a1 |
| Reference number: | 2501030372 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Case number: | 12-406mm |
| Bond amount: | $500 |
| Arrest officer: | HCSO D/S Merkel |