| Date of birth: | Apr 13, 1976 |
| Ethnicity: | W |
| Hair: | Brown |
| Eyes: | Brown |
| Street number: | 2532 |
| Incident number: | 201200000874 |
| Hand use: | R |
| Cid number: | 000000049483 |
| Build: | SML |
| Birth place: | FL |
| Booking date: | Jul 18, 2012 |
| Release date: | Jul 18, 2012 |
| Booking location: | Hardee County, FL |
| Statute: | 775.13 |
| Reference number: | 2501030027 |
| Incident agency: | HCSO |
| Description: | Criminal Registration (not An Arrest)/co |
| Bond amount: | $0 |
| Arrest officer: | HCSO |
