| Date of birth: | Oct 1, 1951 |
| Ethnicity: | B |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 2932 |
| Incident number: | 200900001148 |
| Hand use: | R |
| Cid number: | 000000053167 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Jul 12, 2009 |
| Release date: | Jul 12, 2009 |
| Booking location: | Hardee County, FL |
| Statute: | 812.014.3a |
| Reference number: | 2501025134 |
| Incident agency: | HCSO |
| Description: | Larc/petit 1st Off |
| Charge degree: | 2 |
| Case number: | 09-498mm |
| Bond amount: | $250 |
| Arrest officer: | H.C.S.O. SGT. White |