| Date of birth: | Apr 6, 1969 |
| Ethnicity: | H |
| Hair: | Red |
| Eyes: | Brown |
| Street number: | 718 |
| Incident number: | 201100001530 |
| Hand use: | R |
| Cid number: | 000000060914 |
| Build: | MED |
| Birth place: | TA |
| Booking date: | Nov 2, 2011 |
| Release date: | Nov 2, 2011 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501028973 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Case number: | 11-622MM |
| Bond amount: | $250 |
| Arrest officer: | HCSO D/S Bissette |
