| Date of birth: | Nov 2, 1963 |
| Ethnicity: | W |
| Hair: | Stb |
| Eyes: | Blue |
| Street number: | 2268 |
| Incident number: | 201100001651 |
| Hand use: | R |
| Cid number: | 000000045426 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Nov 24, 2011 |
| Release date: | Nov 25, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501029081 |
| Incident agency: | BGPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $500 |
| Arrest officer: | BGPD Ofc. Guthas |