| Date of birth: | Sep 15, 1953 |
| Ethnicity: | H |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 2941 |
| Incident number: | 200900001519 |
| Hand use: | R |
| Cid number: | 000000027326 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Sep 22, 2009 |
| Release date: | Sep 24, 2009 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501025456 |
| Incident agency: | ZSPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 09-645mm |
| Bond amount: | $250 |
| Arrest officer: | ZSPD Chief J. Ventura |
