| Date of birth: | Jul 19, 1951 |
| Hold: | no |
| Arresting agency: | LAKE WALES POLICE DEPT. |
| Booking number: | 2012-015726 |
| Booking date: | Jun 19, 2012 |
| Release date: | Jun 20, 2012 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA12979498 |
| Bond exp: | SBN AA12 979498 $2500.00 |
| Bond amount: | $2,500 |