| Date of birth: | Apr 8, 1963 |
| Hold: | no |
| Arresting agency: | HAINES CITY POLICE DEPT. |
| Booking number: | 1999-015176 |
| Booking date: | Jul 18, 1999 |
| Release date: | Jul 18, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY(DV) |
| Charge number: | 1 |