| Date of birth: | Sep 17, 1939 |
| Ethnicity: | B |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 285 |
| Incident number: | 200700001532 |
| Hand use: | R |
| Cid number: | 000000025239 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Jul 23, 2007 |
| Release date: | Jul 24, 2007 |
| Booking location: | Hardee County, FL |
| Statute: | 322.03(1) |
| Reference number: | 2501020837 |
| Incident agency: | FHP |
| Description: | NO VALID DRIVERS LICENSE |
| Charge degree: | 2 |
| Bond amount: | $250 |
| Arrest officer: | FHP Trp Benavides Trp F |
