| Date of birth: | Apr 9, 1968 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Hazel |
| Street number: | 416 |
| Incident number: | 200800002176 |
| Hand use: | R |
| Direction prefix: | N |
| Cid number: | 000000016326 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Oct 29, 2008 |
| Release date: | Oct 30, 2008 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501023650 |
| Incident agency: | WPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 08-771mm |
| Bond amount: | $0 |
| Arrest officer: | WPD CPL. Garza |