| Date of birth: | May 29, 1957 |
| Hold: | no |
| Inmate location: | SOUTH COUNTY JAIL MEDICAL |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-002235 |
| Booking date: | Jan 31, 2015 |
| Booking location: | Polk County, FL |
| Surety: | 2500 |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | DOMESTIC VIOLENCE-BATTERY TOUCH/STRIKE |
| Charge number: | 1 |
| Cash: | 2500 |
| Bond exp: | PTR COND OF BOND |