| Date of birth: | Jan 16, 1974 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 1292 |
| Incident number: | 200900001534 |
| Hand use: | A |
| Cid number: | 000000018208 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Sep 26, 2009 |
| Release date: | Sep 26, 2009 |
| Booking location: | Hardee County, FL |
| Warrant: | 2009-1273 |
| Statute: | 784.03.1a1 |
| Reference number: | 2501025471 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 09-594MMMA |
| Bond amount: | $500 |
| Arrest officer: | H.C.S.O D/S Lake |