| Date of birth: | Nov 21, 1949 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1997-020143 |
| Booking date: | Oct 24, 1997 |
| Release date: | Oct 25, 1997 |
| Booking location: | Polk County, FL |
| Statute: | 784.045 AGG BATTERY |
| Charge on arrest docket: | AGG BATTERY DOMESTIC |
| Charge number: | 1 |
| Bond exp: | NO BOND |