| Date of birth: | Nov 21, 1949 |
| Ethnicity: | B |
| Hair: | Gray |
| Eyes: | Brown |
| Street number: | 687 |
| Incident number: | 200700000351 |
| Hand use: | R |
| Cid number: | 000000034002 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Feb 27, 2007 |
| Release date: | Feb 27, 2007 |
| Booking location: | Hardee County, FL |
| Statute: | 775.13 |
| Reference number: | 2501019864 |
| Incident agency: | HCSO |
| Description: | Criminal Registration (not An Arrest)/co |
| Bond amount: | $0 |
| Arrest officer: | HCSO |
