| Date of birth: | Feb 10, 1957 |
| Hair: | Black |
| Eyes: | Brown |
| Street suffix: | St |
| Street number: | 205 |
| Street name: | Goolsby |
| Incident number: | 2.01200000616e+11 |
| Hand: | R |
| Cid number: | 45930 |
| Build: | LAR |
| Birth place: | TX |
| Release date: | May 16, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501029789 |
| Incident agency: | WPD |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $0 |
| Arrest officer: | WPD Ptl. Nicholas |
