| Date of birth: | Jul 6, 1955 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2010-004902 |
| Booking date: | Mar 1, 2010 |
| Release date: | Mar 2, 2010 |
| Booking location: | Polk County, FL |
| Statute: | 784.08(2D) SIMPLE ASSLT-ON PERSON 65 YEARS OF AGE OR OLDER |
| Charge on arrest docket: | ASSLT ON PERSON 65 OR OLDER (DV) |
| Charge number: | 1 |