| Date of birth: | Aug 16, 1961 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Green |
| Street number: | 3891 |
| Incident number: | 201500001170 |
| Hand use: | R |
| Cid number: | 000000023274 |
| Build: | MED |
| Birth place: | FL |
| Booking date: | Oct 27, 2015 |
| Release date: | Oct 28, 2015 |
| Booking location: | Hardee County, FL |
| Statute: | 784.03.1a1 |
| Reference number: | 2501034733 |
| Incident agency: | HCSO |
| Description: | Battery/touch Or Strike |
| Charge degree: | 1 |
| Bond amount: | $250 |
| Arrest officer: | HCSO D/S Albritton |
