| Date of birth: | Aug 3, 1940 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 1997-020550 |
| Booking date: | Oct 31, 1997 |
| Release date: | Nov 1, 1997 |
| Booking location: | Polk County, FL |
| Surety: | 5000 |
| Statute: | 784.07 ASSAULT-LAW OFCR SERIOUS INJURY |
| Charge on arrest docket: | AGG ASSAULT ON LEO |
| Charge number: | 1 |
| Cash: | 1500 |
| Bond type: | SBN |
| Bond number: | X075007760 |
| Bond amount: | $5,000 |