| Date of birth: | Jan 29, 1950 |
| Hold: | no |
| Booking number: | 1995-016227 |
| Booking date: | Oct 4, 1995 |
| Release date: | Oct 7, 1995 |
| Booking location: | Polk County, FL |
| Statute: | 827.03 AGGRAVATED CHILD ABUSE |
| Charge on arrest docket: | AGGRAVATED CHILD ABUSE-DOMESTIC VIOLENCE |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 00010600 |
| Bond amount: | $250 |