| Date of birth: | Dec 11, 1958 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Green |
| Street number: | 801 |
| Incident number: | 201100000198 |
| Hand use: | R |
| Cid number: | 000000014709 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Feb 4, 2011 |
| Release date: | Feb 5, 2011 |
| Booking location: | Hardee County, FL |