| Date of birth: | Sep 30, 1969 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 1999-015170 |
| Booking date: | Jul 18, 1999 |
| Release date: | Jul 25, 1999 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-SERIOUS INJURY |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond exp: | SBN#R5-11146304 $5000.00 |
| Bond amount: | $5,000 |