| Date of birth: | Nov 21, 1948 |
| Hold: | no |
| Booking number: | 1995-006483 |
| Booking date: | Apr 21, 1995 |
| Release date: | Apr 21, 1995 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | BATT DV |
| Charge number: | 1 |
| Statute: | 322.32(1) DISPLAY/POSS REV/SUSP/FICT/ALT DL |
| Charge on arrest docket: | POSS SUSP DL |
| Charge number: | 2 |
| Statute: | 893.13(1) CONT SUBST-POSS/SELL/MFG/DEL |
| Charge on arrest docket: | POSS MARIJ |
| Charge number: | 3 |
| Statute: | 893.147 POSS/USE/MFG/DEL/ADVER DRUG PARAPH |
| Charge on arrest docket: | POSS DRUG PARAPH |
| Charge number: | 4 |
