| Date of birth: | May 7, 1941 |
| Ethnicity: | B |
| Hair: | Black |
| Eyes: | Brown |
| Street number: | 630 |
| Incident number: | 201200000403 |
| Hand use: | R |
| Cid number: | 000000022939 |
| Build: | MED |
| Birth place: | MS |
| Booking date: | Mar 28, 2012 |
| Release date: | Mar 28, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 901.04 |
| Reference number: | 2501029590 |
| Incident agency: | HCSO |
| Description: | Out Of County Warrant |
| Case number: | 12-2707CF |
| Bond amount: | $15,000 |
| Arrest officer: | HCSO D/S Abbott |
