| Date of birth: | Jan 3, 1958 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2012-025627 |
| Booking date: | Oct 10, 2012 |
| Release date: | Oct 11, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 870.01(1) DISORDERLY CONDUCT-AFFRAY |
| Charge on arrest docket: | AFFRAY |
| Charge number: | 1 |