| Date of birth: | Sep 6, 1972 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2003-023688 |
| Booking date: | Oct 30, 2003 |
| Release date: | Oct 30, 2003 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 ASSLT-INTENT THREAT TO DO VIOLENCE |
| Charge on arrest docket: | ASSAULT/DV |
| Charge number: | 1 |
