| Date of birth: | Jun 30, 1974 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-000932 |
| Booking date: | Jan 12, 2004 |
| Release date: | Jan 12, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.045(1A1) AGGRAV BATTERY-CAUSE BODILY HARM OR DISABILITY |
| Charge on arrest docket: | AGGRAVATED BATTERY |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA03351832 |
| Bond exp: | SBN AA03-351832 FOR 5000.00 |
| Bond amount: | $5,000 |
