| Date of birth: | Jan 9, 1960 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2013-022613 |
| Booking date: | Oct 11, 2013 |
| Release date: | Oct 12, 2013 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY TOUCH OR STRIKE - DV |
| Charge number: | 1 |