| Date of birth: | Jul 28, 1959 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1998-012569 |
| Booking date: | Jun 27, 1998 |
| Release date: | Jun 29, 1998 |
| Booking location: | Polk County, FL |
| Surety: | 5000 |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATT DV |
| Charge number: | 1 |
| Cash: | 5000 |
| Bond exp: | PTR 062998 |