| Date of birth: | Jun 29, 1958 |
| Hold: | no |
| Dna: | yes |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2015-011379 |
| Booking date: | Jun 9, 2015 |
| Booking location: | Polk County, FL |
| Statute: | 784.03(2) BATTERY-2ND OR SUBSQ OFF |
| Charge on arrest docket: | DOMESTIC VIOLENCE BATTERY-PRIOR CONVICT |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | PSC5237002 |
| Bond exp: | SBN#PSC5-237002 FOR $500.00 |
| Bond amount: | $500 |