| Date of birth: | May 6, 1956 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-010889 |
| Booking date: | May 23, 1999 |
| Release date: | May 24, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.011 ASSAULT-SERIOUS INJURY |
| Charge on arrest docket: | ASSAULT DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | AA99111678 |
| Bond exp: | AA99-111678 1000.00 |
| Bond amount: | $1,000 |