| Date of birth: | Jul 3, 1954 |
| Hold: | no |
| Booking number: | 1996-014568 |
| Booking date: | Aug 27, 1996 |
| Release date: | Aug 27, 1996 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Purge number: | 3682895 |
| Charge on arrest docket: | DV BATT FTA RTSC |
| Charge number: | 1 |
| Bond exp: | NO BOND |
| Bond amount: | $188.25 |