| Date of birth: | Aug 31, 1962 |
| Hold: | no |
| Arresting agency: | LAKE ALFRED POLICE DEPT. |
| Booking number: | 2012-014385 |
| Booking date: | Jun 5, 2012 |
| Booking location: | Polk County, FL |
| Surety: | 5000 |
| Statute: | 784.03(1A2) BATTERY-CAUSE BODILY HARM |
| Charge on arrest docket: | BATTERY DV |
| Charge number: | 1 |
| Cash: | 5000 |
| Bond exp: | PTR |