| Date of birth: | Apr 26, 1958 |
| Hold: | no |
| Arresting agency: | BARTOW POLICE DEPT. |
| Booking number: | 2004-022347 |
| Booking date: | Oct 2, 2004 |
| Release date: | Oct 3, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(1A1) BATTERY-TOUCH OR STRIKE |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | 5600065418 |
| Bond exp: | SBN 560006541-8 FOR $5000.00 |
| Bond amount: | $5,000 |
