| Date of birth: | Nov 9, 1926 |
| Hold: | no |
| Booking number: | 1993-017395 |
| Booking date: | Dec 31, 1993 |
| Release date: | Jan 1, 1994 |
| Booking location: | Polk County, FL |
| Statute: | 784.03 BATTERY-NON SERIOUS INJURY |
| Charge on arrest docket: | SIMPLE BATTERY D/V |
| Charge number: | 1 |
| Bond exp: | ROR NTA |
