| Date of birth: | Feb 15, 1969 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street suffix: | Dr |
| Street number: | 749 |
| Street name: | Sandpiper |
| Incident number: | 201200001023 |
| Hand: | A |
| Cid number: | 000000070491 |
| Build: | SML |
| Birth place: | MM |
| Booking date: | Aug 21, 2012 |
| Booking location: | Hardee County, FL |