| Date of birth: | Sep 21, 1950 |
| Ethnicity: | W |
| Hair: | Gray |
| Eyes: | Blue |
| Street number: | 7248 |
| Incident number: | 201000000402 |
| Hand use: | R |
| Cid number: | 000000057214 |
| Build: | LAR |
| Birth place: | GA |
| Booking date: | Mar 19, 2010 |
| Release date: | Mar 19, 2010 |
| Booking location: | Hardee County, FL |
| Statute: | 775.13 |
| Reference number: | 2501026315 |
| Incident agency: | HCSO |
| Description: | Criminal Registration (not An Arrest)/co |
| Bond amount: | $0 |
| Arrest officer: | HCSO |
