| Date of birth: | Aug 8, 1963 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Hazel |
| Street number: | 4009 |
| Incident number: | 201600000287 |
| Hand use: | R |
| Cid number: | 000000087600 |
| Build: | SML |
| Birth place: | CA |
| Booking date: | Mar 9, 2016 |
| Release date: | Mar 9, 2016 |
| Booking location: | Hardee County, FL |
| Statute: | 775.13 |
| Reference number: | 2501035238 |
| Incident agency: | HCSW |
| Description: | Criminal Registration (not An Arrest)/co |
| Bond amount: | $0 |
