| Date of birth: | Sep 16, 1957 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2006-022776 |
| Booking date: | Sep 15, 2006 |
| Release date: | Sep 17, 2006 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATT-TOUCH OR STRIKE (DV) |
| Charge number: | 1 |