| Date of birth: | Dec 2, 1936 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2006-018421 |
| Booking date: | Jul 27, 2006 |
| Release date: | Jul 29, 2006 |
| Booking location: | Polk County, FL |
| Statute: | 784.021(1A) AGGRAV ASSLT - WEAPON-W DEADLY WEAPON WITHOUT INTE |
| Charge on arrest docket: | AGGRAVATED ASSAULT-DOMESTIC |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | BOND EXP |
| Bond exp: | SBN#AS5-509111 FOR $5000.00 |
| Bond amount: | $5,000 |