| Date of birth: | Sep 13, 1971 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 311 |
| Incident number: | 201100001165 |
| Hand use: | R |
| Cid number: | 000000065369 |
| Build: | LAR |
| Birth place: | FL |
| Booking date: | Aug 9, 2011 |
| Release date: | Aug 10, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501028653 |
| Incident agency: | WPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 11-0470mm |
| Bond amount: | $500 |
| Arrest officer: | WPD Officer Corwin |