| Date of birth: | Feb 17, 1952 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2014-024968 |
| Booking date: | Nov 30, 2014 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | DOMESTIC VIOLENCE BATTERY TOUCH OR STRIK |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 5617050764 |
| Bond exp: | PTR/SBN#5617050764 $5000.00 |
| Bond amount: | $5,000 |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | DOM VIOL AGG ASSAULT DEADLY WO INTENT |
| Charge number: | 2 |
| Bond type: | SBN |
| Bond number: | 5617050777 |
| Bond exp: | PTR/SBN#561705077-7 $5000.00 |
| Bond amount: | $5,000 |