| Date of birth: | Sep 6, 1972 |
| Ethnicity: | H |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 3435 |
| Incident number: | 201100001615 |
| Hand use: | R |
| Cid number: | 000000053185 |
| Build: | MED |
| Birth place: | MM |
| Booking date: | Nov 18, 2011 |
| Release date: | Nov 18, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 322.03(1) |
| Reference number: | 2501029055 |
| Incident agency: | FHP |
| Description: | NO VALID DRIVERS LICENSE |
| Charge degree: | 2 |
| Bond amount: | $250 |
| Arrest officer: | FHP Tpr. DeBoom |
