| Date of birth: | Dec 18, 1949 |
| Hold: | no |
| Dna: | ? |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-009862 |
| Booking date: | May 19, 2015 |
| Release date: | May 20, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | >DV BATTERY TOUCH OR STRIKE |
| Bond type: | SBN |
| Bond exp: | PTR/SBN#AS6K-494536 $3000 |
| Bond amount: | $3,000 |
| Bond: | AS6K494536 |