| Date of birth: | Sep 26, 1953 |
| Ethnicity: | B |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 736 |
| Incident number: | 201000001036 |
| Hand use: | R |
| Cid number: | 000000052212 |
| Build: | MED |
| Birth place: | HT |
| Booking date: | Jul 21, 2010 |
| Release date: | Jul 30, 2010 |
| Booking location: | Hardee County, FL |
| Statute: | 901.31 |
| Reference number: | 2501026874 |
| Incident agency: | WPD |
| Description: | Failure To Appear/written Promise To App |
| Case number: | 10-185mm |
| Bond amount: | $0 |
| Arrest officer: | W.P.D. PTL. Brock |